A patient with a cerebral aneurysm exhibits signs and symptoms of an increase in intracranial pressure (ICP). What nursing intervention would be most appropriate for this patient?
A) Range-of-motion exercises to prevent contractures
B) Encouraging independence with ADLs to promote recovery
C) Early initiation of physical therapy
D) Absolute bed rest in a quiet, nonstimulating environment
Ans: D
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. Visitors are restricted. The nurse administers all personal care. The patient is fed and bathed to prevent any exertion that might raise BP.
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