Following diagnostic testing, a patient has been admitted to the ICU and placed on cerebral aneurysm precautions. What nursing action should be included in patient's plan of care?
A) Supervise the patient's activities of daily living closely.
B) Initiate early ambulation to prevent complications of immobility.
C) Provide a high-calorie, low-protein diet.
D) Perform all of the patient's hygiene and feeding.
Ans: A
Feedback:
The patient is placed on immediate and absolute bed rest in a quiet, nonstressful environment, because activity, pain, and anxiety elevate BP, which increases the risk for bleeding. As such, independent ADLs and ambulation are contraindicated. There is no need for a high-calorie or low-protein diet.
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