What is a nursing intervention to reduce the risk of increasing intracranial pressure (ICP) in an unconscious child?
a. Suction the child frequently.
b. Turn the child's head side to side every hour.
c. Provide environmental stimulation.
d. Avoid activities that cause pain or crying.
ANS: D
Unrelieved pain, crying, and emotional stress all contribute to increasing the ICP. Disturbing procedures should be carried out at the same time as therapies that reduce ICP, such as sedation. Suctioning is poorly tolerated by children. When necessary, it is preceded by hyperventilation with 100% oxygen. Turning the head side to side is contraindicated for fear of compressing the jugular vein. This would block the flow of blood from the brain, raising ICP. Nontherapeutic touch and environmental stimulation increase ICP. Minimizing both touch and environmental stimuli noise reduces ICP.
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