Question

A nurse is caring for a client who has an intracranial aneurysm and requires aneurysm precautions. Which of the following interventions should the nurse take?

A. Place the client in protective isolation
B. Minimize environmental stimuli
C. Elevate the head of the client's bed 45 degrees
D. Limit the client's ambulation to once a day

Answer 1

When caring for a client with an intracranial aneurysm, the nurse should elevate the head of the client's bed, minimize environmental stimuli, and limit the client's ambulation.

Step-by-step explanation:

When caring for a client with an intracranial aneurysm, the nurse should take several precautions to prevent rupture or further complications. One important intervention is to elevate the head of the client's bed 45 degrees. This position helps to reduce intracranial pressure and promote optimal blood flow to the brain. Another key intervention is to minimize environmental stimuli. Bright lights, loud noises, and excessive stimulation can increase the client's blood pressure and potentially lead to an aneurysm rupture. Lastly, the nurse should limit the client's ambulation to once a day, as excessive activity or straining can also increase the risk of rupture.