- check the blood pressure
- elevate the client’s head to 30 degrees
- administer oxygen
- increase the IV rate
Number 2 is correct.
The client’s symptoms are consistent with increased intracranial pressure (ICP). The best immediate response is to elevate the client’s head to 30 degrees to produce a drop in ICP. Checking the blood pressure is a secondary action. Oxygen administration will not impact the increased ICP. Increasing the IV rate would be contraindicated.