The nurse is planning care for a client with a head injury and increased intracranial pressure (IICP) from a motor vehicle crash. Which intervention is a priority for this client?
A) Ensuring adequate oxygenation
B) Maintaining a calm environment
C) Monitoring for nausea and vomiting
D) Controlling pain
Answer: A
Ensuring adequate oxygenation to support brain function is the most important step in management of IICP. Although pain control, a calm environment, and vomiting (a sign of increased ICP) would be important, they are secondary to airway.
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