What nursing action should be prioritized when a patient displays signs of increased intracranial pressure post-surgery?

When a patient shows signs of increased intracranial pressure (ICP) following surgery, prioritizing the assessment for neurological changes is crucial. Increased ICP can lead to serious complications, including brain herniation, so prompt identification of any changes in neurological status can be lifesaving. Regular neurological assessments help in detecting deterioration early, allowing for timely intervention that can mitigate further damage or complications.

Monitoring pain levels, while important, is secondary because pain can be managed once the patient's neurological status is stable. Providing comfort measures and encouraging deep breathing exercises are both valuable nursing actions, but they do not directly address the immediate risk associated with elevated ICP. The focus should always be on recognizing alterations in consciousness, pupil reactions, motor responses, and other neurological indicators, ensuring that appropriate measures can be taken as soon as possible.