The nurse is caring for a client with a cerebral aneurysm who is awaiting the decision to perform surgery. Which actions are priorities to prevent increasing ICP and rebleeding? (Select all that apply.)
1. Restrict visitors to two at a time.
2. Assign the client to a private room.
3. Provide aspirin-based analgesics for pain control.
4. Instruct to call for help to move self up in the bed.
5. Keep the lights off and minimize noise in the room.
Answer: 1, 2, 4, 5
1. Aneurysm precautions to prevent an increase in ICP and the risk of rebleeding include restricting visitors to two at a time.
2. Aneurysm precautions to prevent an increase in ICP and the risk of rebleeding include placing the client in a private room.
3. Aspirin-based analgesics could potentiate bleeding and should be avoided.
4. Aneurysm precautions to prevent an increase in ICP and the risk of rebleeding include instructing the client to call for help to move self up in the bed.
5. Aneurysm precautions to prevent an increase in ICP and the risk of rebleeding include keeping the room quiet and dark.
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