When assessing the body function of a patient with increased ICP, the nurse should initially assess

When assessing the body function of a patient with increased ICP, the nurse should initially assess

• A. Corneal reflex testing
• B. Extremity strength testing
• C. Pupillary reaction to light
• D. Circulatory and respiratory status

Answer: (D)

Maintaining airway, breathing, and circulation is the first priority in a patient with increased ICP because brain function depends on adequate oxygen delivery and perfusion. If ventilation is inadequate or circulation is compromised, hypoxia and hypercapnia can worsen cerebral edema, raise ICP further, and reduce cerebral perfusion pressure, escalating brain injury risk. Once respiration and circulation are stabilized, you can more accurately assess neurological status. Neurologic checks like pupil response, reflexes, or motor strength are important, but they’re most meaningful after ensuring the patient’s oxygenation and circulation are adequate.

Maintaining airway, breathing, and circulation is the first priority in a patient with increased ICP because brain function depends on adequate oxygen delivery and perfusion. If ventilation is inadequate or circulation is compromised, hypoxia and hypercapnia can worsen cerebral edema, raise ICP further, and reduce cerebral perfusion pressure, escalating brain injury risk. Once respiration and circulation are stabilized, you can more accurately assess neurological status. Neurologic checks like pupil response, reflexes, or motor strength are important, but they’re most meaningful after ensuring the patient’s oxygenation and circulation are adequate.