The nurse recognizes that a client being monitored via an external ventricular drain is experiencing normal intracranial pressure if the reading is:
1. 14 mmHg.
2. 23 mmHg.
3. 73 mmHg.
4. 89 mmHg.
14 mm Hg.
Rationale: The desired range of ICP is 0 to 15 mm Hg. ICPs are considered elevated when sustained at greater than 20 mmHg. Normal cerebral perfusion pressure (CPP) is 70 to 100 mm Hg.
Step of the Nursing Process: Assessment
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