The nurse is caring for a client with a cerebral aneurysm who is ...

[karlynnae]

The nurse is caring for a client with a cerebral aneurysm who is awaiting the decision to perform surgery. Which actions are priorities to prevent increasing ICP and rebleeding? (Select all that apply.)
 
  1. Restrict visitors to two at a time.
  2. Assign the client to a private room.
  3. Provide aspirin-based analgesics for pain control.
  4. Instruct to call for help to move self up in the bed.
  5. Keep the lights off and minimize noise in the room.

Question 2

When caring for a client with left-sided hemianopia, the nurse should:
 
  1. keep the client positioned on the back or left side only.
  2. place the food tray on the client's left side.
  3. place the client's personal belongings on the client's right side.
  4. check the left side of the mouth for food pocketing.

[tashiedavis420]

Answer to Question 1

Answer: 1, 2, 4, 5

1. Aneurysm precautions to prevent an increase in ICP and the risk of rebleeding include restricting visitors to two at a time.
2. Aneurysm precautions to prevent an increase in ICP and the risk of rebleeding include placing the client in a private room.
3. Aspirin-based analgesics could potentiate bleeding and should be avoided.
4. Aneurysm precautions to prevent an increase in ICP and the risk of rebleeding include instructing the client to call for help to move self up in the bed.
5. Aneurysm precautions to prevent an increase in ICP and the risk of rebleeding include keeping the room quiet and dark.

Answer to Question 2

Answer: 2

1. This approach would not be helpful to the client.
2. Hemianopia involves loss of one-half of the vision field. The client will see the food on the left side of the tray only if it is placed directly in front.
3. This will not be helpful to the client.
4. This is not related to the visual fields.