Question

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

Answer 1

For a patient with increased intracranial pressure due to a cerebral aneurysm, absolute bed rest in a quiet, nonstimulating environment is the most appropriate nursing intervention.

Step-by-step explanation:

In the presence of a cerebral aneurysm accompanied by increased intracranial pressure (ICP), the most appropriate nursing intervention would be absolute bed rest in a quiet, nonstimulating environment. This approach reduces metabolic demands on the brain, minimizes the risk of further aneurysm expansion or rupture, and helps to stabilize intracranial pressure. Engaging in activities, even seemingly benign ones like range-of-motion exercises or activities of daily living (ADLs), could increase ICP and are not recommended until the patient's condition is stabilized and they are cleared by a medical professional.