What intervention should the charge nurse intervene on regarding a patient at risk for increased intracranial pressure?

Maintaining the head of the patient's bed more than 90 degrees is crucial in managing a patient at risk for increased intracranial pressure (ICP). When the head of the bed is elevated, it promotes venous drainage from the cranial cavity and reduces the risk of increased pressure inside the skull. However, elevating the head of the bed too much, particularly beyond 90 degrees, can lead to adverse effects, including strain on the neck and potential restriction of venous return, which could exacerbate the problem rather than help.

The ideal angle for elevating the head of the bed in patients at risk for ICP is typically 30 to 45 degrees, as this position optimizes venous return and decreases the potential for increased intracranial pressure. Positive interventions at appropriate angles can enhance cerebral blood flow and help maintain stable ICP levels, allowing for better overall neurological function.

Maintaining proper positioning while being mindful of the effects of gravity on venous drainage is essential to safely manage patients facing the risk of elevated ICP.