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colleen colleen
wrote...
Valued Member
Posts: 17077
11 years ago
The nurse is caring for a patient with an intracranial pressure monitoring device. What is a priority nursing diagnosis for this patient?
1. Risk for Infection
2. Ineffective Tissue Perfusion: Cerebral
3. Risk for Impaired Skin Integrity
4. Impaired Physical Mobility
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1 Reply
Sunshine ☀ ☼

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Replies
wrote...
Valued Member
11 years ago
1 -- Intracranial monitoring is more invasive than other monitoring devices and disrupts skin and skeletal barriers. It is often used on patients with impaired immune defenses. It necessitates frequent flushing and monitoring and may be an open system, which offers increased opportunity for pathogens to enter and grow. It is used to monitor patients with ineffective cerebral tissue perfusion due to increased intracranial pressure (IICP) who may be at risk for impaired skin integrity due to impaired physical mobility.
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