Section: NCLEX

21) The nurse is caring for a patient 4 hours after undergoing intracranial surgery. Which of the following actions should the nurse take immediately?

Turn, cough, and deep-breathe the patient.
Place the patient with the neck flexed and head turned to the side.
Perform passive range of motion exercises.
Move the client to the head of the bed using a turning sheet.

Explanation

The patient’s body should be moved as a unit to prevent increased ICP.

This question is provided by Kaplan Test Prep.