Which nursing interventions are appropriate post-intracranial surgery for a client?

Applying a soft collar to keep the neck in a neutral position is a crucial nursing intervention following intracranial surgery. This practice helps to maintain proper alignment of the cervical spine, which is important for several reasons. First, keeping the neck in a neutral position minimizes the risk of additional stress on the spinal cord and vertebrae, which could occur if the neck were flexed or twisted. This is particularly important in the post-operative period when the client may have increased sensitivity or reduced mobility due to the surgery.

Moreover, maintaining the neck in a neutral position can help ensure adequate venous drainage from the brain, reducing the risk of increased intracranial pressure. Managing intracranial pressure is vital after neurosurgery, as fluctuations can lead to complications such as bleeding or edema.

In contrast, flexing the neck or restricting the client to a supine position exclusively may not provide the necessary support for healing and could lead to complications. Limiting the client to only one positional change, like turning only to one side, might increase the risk of pressure ulcers and does not facilitate optimal blood flow. Overall, using a soft collar to stabilize the neck aligns with best practices for maintaining safety and promoting optimal recovery after intracranial procedures.