A patient is diagnosed with bleeding into the cerebellum. The nurse realizes that which of the following would be indicated for this patient?
1. bed rest with the head of the bed elevated at a 30 degree angle
2. immediate surgery to remove the blood from the cerebellum
3. strict intake and output
4. diuretic therapy to dehydrate cerebral tissues
2
Rationale: Cerebellar lesions are critical because a hemorrhage or infarction can rapidly become life threatening by compromising the brainstem. Patients with large hemorrhages or infarctions are more likely to have brainstem compression and an urgent need for surgery. Bedrest and elevating the head of the bed is not going to reduce compression on the brainstem from bleeding. Strict intake and output is also not going to reduce the compression on the brainstem. And diuretic therapy is not going to reduce the compression to the brainstem from bleeding into the cerebellum.
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