The Nurse Is Assessing a Client's Intracranial Pressure Via an External

Multiple Choice

The nurse is assessing a client's intracranial pressure via an external ventricular drain (EVD) . The reading is markedly different from the previous one. What action does the nurse take next?

A) Ensures the transducer is at the level of the tragus
B) Confirms the CSF drain is open during the readings
C) Facilitates the client getting a stat skull x-ray
D) Irrigates the drain tubing with sterile normal saline