Advanced Oncology Certified Nurse Practitioner (AOCNP) Certification Practice Test

What is an initial intervention in managing factors that can increase intracranial pressure (ICP)?

1. Administer high-dose aspirin

2. Elevate the head of the bed

3. Apply a cooling blanket

4. Restrict fluid intake

The correct answer is: Elevate the head of the bed

Elevating the head of the bed is a fundamental initial intervention for managing factors that can increase intracranial pressure (ICP). By positioning the patient with the head elevated, venous drainage from the brain is facilitated, which can help reduce ICP. This elevation is commonly recommended because it utilizes gravity to assist in reducing the pressure within the cranial cavity, promoting better cerebral perfusion and possibly decreasing the risk of complications associated with elevated ICP such as herniation. In contrast, while administering high-dose aspirin may be beneficial in certain conditions like cardiovascular issues or to prevent thromboembolic events, it does not have a direct effect on managing ICP. Applying a cooling blanket can be relevant in certain scenarios, particularly for hyperthermia management, but it does not specifically address the reduction of ICP. Similarly, restricting fluid intake may be part of a broader management strategy in specific clinical contexts, but it should be undertaken with caution and typically is not the immediate first step in addressing elevated ICP.