The nurse assesses periorbital edema and ecchymosis around both eyes of a client who is 6 hours postoperative for craniotomy. Which intervention does the nurse implement for this client?
a. Position the client with the head of the bed flat.
b. Apply an ice pack to the affected area.
c. Assess arterial blood pressure.
d. Notify the health care provider.
B
Periorbital edema and ecchymosis are expected after a craniotomy. The nurse should attempt to increase the client's comfort by reducing the swelling with application of ice. The provider does not need to be notified. Lowering the head of the bed and assessing blood pressure will not de-crease inflammation.
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