Free NCLEX RN Practice Questions Practice Question

When planning the care for a client after a posterior fossa (infratentorial) craniotomy, which action is contraindicated?

Correct Answer: B

Rationale: In the context of care after a posterior fossa craniotomy, elevating the head of the bed 30° is contraindicated because it can increase intracranial pressure (ICP), which may compromise recovery.

Option A, keeping the client flat on one side, is often recommended to minimize ICP and promote venous drainage. Option C, log-rolling or turning as a unit, is appropriate to maintain spinal alignment and prevent strain. Option D, keeping the neck in a neutral position, is essential to avoid tension on the surgical site and support optimal cerebral circulation. Thus, elevating the head can hinder recovery, while the other options support safe post-operative care.

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