What is the priority nursing action for a patient with a closed head injury?

• A. Administer pain medication
• B. Elevate the head of the bed 30 degrees
• C. Perform neurological assessments
• D. Initiate seizure precautions

Answer: (B)

For a patient with a closed head injury, elevating the head of the bed to 30 degrees is crucial because it can help decrease intracranial pressure (ICP). When the head is elevated, it promotes venous drainage from the brain, thus reducing the risk of complications associated with increased ICP, such as brain herniation or secondary brain injury. Managing ICP is a top priority in nursing care for head injury patients, making this action integral to the patient's overall treatment and recovery plan.

While the other options, such as administering pain medication, performing neurological assessments, and initiating seizure precautions, are important aspects of care, they are secondary to addressing the physiological state of the patient and ensuring optimal intracranial pressure management. Pain relief, neurological monitoring, and seizure precautions will follow based on the patient’s condition and response to primary interventions.