During an assessment, the nurse notes that the left pupil of a patient with a traumatic brain injury is larger than the right pupil. What action should the nurse take at this time?

Question

Quizplus · Accepted Answer

1. One pupil larger than the other is termed anisocoria and can indicate that ICP is higher than 20 mm Hg. Coughing should be avoided.
2. One pupil larger than the other is termed anisocoria and can indicate that ICP is higher than 20 mm Hg. The patient's head should be elevated.
3. One pupil larger than the other is termed anisocoria and can indicate that ICP is higher than 20 mm Hg. Raising the head of the bed will help reduce ICP.
4. One pupil larger than the other is termed anisocoria and can indicate that ICP is higher than 20 mm Hg. The Valsalva maneuver will increase ICP and should be avoided.

During an Assessment, the Nurse Notes That the Left Pupil