The nurse is caring for a client with a cerebral aneurysm. Why does the nurse limit the interaction of visitors or family members with the client with an aneurysm?

A) The interaction may cause the client to become violent.
B) The interaction may cause migraine in the client.
C) The stimulation can increase intracranial pressure (ICP) or trigger a seizure.
D) The client may become emotional and lose interest in the treatment.


C
Feedback:
Although visitors' and family members' desire to interact with the client are well intentioned, the stimulation can increase ICP or trigger a seizure. The nurse can suggest that they take turns and stay briefly. Interactions are not likely to make the client violent or emotional, which may cause the client to lose interest in the treatment. The interactions also may not cause migraine in the client.

Nursing

You might also like to view...

A client is suspected as having a thyroid tumor. For which test should the nurse prepare this client?

1. Serum electrolyte studies 2. Urine studies 3. Abdominal CT scan 4. Thyroid scan

Nursing

A staff nurse asks a student, "Why in the world are you studying nursing theory?" How would the student best respond?

A) "Our school requires we take it before we can graduate." B) "We do it so we know more than your generation did." C) "I think it explains how we should collaborate with others." D) "It helps explain how nursing is different from medicine."

Nursing

In the morning,a nurse receives a report on four pediatric clients who have some form of fluid-volume excess. The nurse should first check the child with

1. periorbital edema,normalrespiratory rate. 2. tachypnea and pulmonarycongestion. 3. dependent and sacral edema,regularpulse. 4. hepatomegaly,normalrespiratory rate.

Nursing

Which interventions can you delegate to the nursing assistive personnel (NAP)? Select all

that apply. a. Obtaining N.T.'s weight b. Assisting N.T. in repositioning every 2 hours c. Initiating oxygen therapy by nasal cannula d. Performing N.T.'s neurologic checks every hour e. Obtaining a manual BP per protocol

Nursing