The Nurse Is Caring for a Client with Increased Intracranial

Multiple Choice

The nurse is caring for a client with increased intracranial pressure (ICP) . What interventions does the nurse include in the client's plan of care? (Select all that apply.)

A) Provide a calm, quiet environment.
B) Use a continuous rectal probe for temperature.
C) Avoid using restraints unless absolutely needed.
D) Position client side-lying with hips and knees flexed.
E) Maintain elevation of the head of the bed to 30 degrees.