A patient with a cerebral aneurysm exhibits signs and symptoms of an increase in ICP. What nursing intervention would be appropriate for this patient?
A) Range-of-motion exercises to prevent contractures
B) Encourage independence with ADLs to promote self-esteem
C) Encourage family visitation to decrease anxiety
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 blood pressure, 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 blood pressure.
You might also like to view...
Which of the following best explains why many people decide to move to large urban areas?
a. To be eligible for social aid b. To be with friends c. To join family who are already there d. To seek employment
The term that the nurse uses to refer to persons who fail to maintain treatment protocols is ____________________
Fill in the blank(s) with correct word
A client underwent the first stage of a restorative proctocolectomy with ileo-anal anastomosis (RPC-IPAA). What topic is a high priority for the nurse to teach?
a. Perineal care b. Ostomy care c. Nutrition therapy d. Relaxation techniques
After providing a patient with discharge instructions on the management of a new permanent pacemaker, the nurse knows that teaching has been effective when the patient states
a. "I will avoid cooking with a microwave oven or being near one in use." b. "It will be 1 month before I can take a bath or return to my usual activities." c. "I will notify the airlines when I make a reservation that I have a pacemaker." d. "I won't lift the arm on the pacemaker side up very high until I see the doctor."