The nurse caring for a patient with a cerebral aneurysm notes an increase in ICP. Which of the following nursing interventions 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
Chapter: 62
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 6
Patient Needs: D-1
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.
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