The nurse is caring for a client with increased intracranial pressure, and reduces stimuli by: (Select all that apply.) Standard Text: Select all that apply
1. Placing a sign on the client's door that says "No visitors allowed."
2. Providing all care quickly at one time to provide periods of rest.
3. Teaching family to speak softly and minimize touching.
4. Keeping the room dark and quiet.
5. Elevating the head of the bed.
3,4
Rationale: A dark quiet room is important to reduce stimuli. Family members should be encouraged to talk to the client in a soft voice with minimal touching. Visitors should be limited but not completely disallowed. Care should be provided throughout the day for short periods of time to limit extended stress and stimulation. Elevating the head of the bed is important to reducing intracranial pressure, but has no effect on stimulation.
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