What is the best nursing action to take if a client demonstrates signs of late-stage increased intracranial pressure?

When a client exhibits signs of late-stage increased intracranial pressure (ICP), the most appropriate nursing action is to notify the physician immediately. This urgency is crucial because late-stage ICP can lead to severe complications, such as brain herniation, which can be life-threatening. Timely communication with the physician allows for rapid assessment and intervention, which may include increasing the level of care, initiating specific treatments, or adjusting medications to manage the increased ICP effectively.

Addressing late-stage ICP is critical because it often reflects a deteriorating neurological status and requires prompt medical attention. The physician might order imaging studies, medications to decrease ICP, or other interventions based on the client's condition. This proactive measure ensures that the client receives the necessary care to prevent further complications and to stabilize their condition.