What should the nurse ensure for a child with increased intracranial pressure (ICP) who is unresponsive?

What should the nurse ensure for a child with increased intracranial pressure (ICP) who is unresponsive?

• A. Provide hydration
• B. Pad the side of the bed
• C. Turn on bright lights
• D. Monitor vital signs every 15 minutes

Answer: (B)

In the context of a child with increased intracranial pressure (ICP) who is unresponsive, padding the side of the bed is a crucial intervention. This action is aimed at preventing injury from any potential seizure activity or unexpected movements, as the child may not be aware of their surroundings or able to protect themselves. Ensuring a safe environment minimizes the risk of harm and provides a protective measure against falls or trauma. Prioritizing safety is essential in this scenario. Children with elevated ICP are often at risk for neurological deterioration, which can manifest as seizures or sudden changes in consciousness, making protective measures imperative. While monitoring vital signs is important, the immediate safety of the child in an unresponsive state takes precedence, and providing a secure environment is a fundamental nursing responsibility.

In the context of a child with increased intracranial pressure (ICP) who is unresponsive, padding the side of the bed is a crucial intervention. This action is aimed at preventing injury from any potential seizure activity or unexpected movements, as the child may not be aware of their surroundings or able to protect themselves. Ensuring a safe environment minimizes the risk of harm and provides a protective measure against falls or trauma.

Prioritizing safety is essential in this scenario. Children with elevated ICP are often at risk for neurological deterioration, which can manifest as seizures or sudden changes in consciousness, making protective measures imperative. While monitoring vital signs is important, the immediate safety of the child in an unresponsive state takes precedence, and providing a secure environment is a fundamental nursing responsibility.