Free BCEN Certified Emergency Nurse (CEN) Practice Question

A 45-year-old male presents to the emergency department with severe headache, vomiting, and altered mental status. His vital signs are: BP 180/100 mmHg, HR 55 bpm, RR 12/min, and SpO2 98% on room air. Which of the following interventions should be prioritized to manage this patient's suspected increased intracranial pressure?

  • Administer 1L normal saline bolus

  • Elevate the head of the bed to 30 degrees

  • Administer mannitol 1g/kg IV push

  • Intubate the patient immediately

This question's topic:
BCEN Certified Emergency Nurse (CEN) / 
Neurological Emergencies
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