Avoid body temperature elevations and flexing, extending, or rotating the patient’s neck to prevent a sudden increase in ICP. Maintain the patient in a normal body alignment to prevent obstruction of venous drainage. Maintain a quiet, restful environment with minimal stimulation. Time nursing care activities carefully to limit prolonged ICP elevations. When suctioning, hyperventilate the patient beforehand and suction only as long as necessary. When turning the patient, prevent Valsalva’s maneuver by using a draw sheet to pull the patient up in bed. Instruct the patient not to hold on to the side rails.