NCLEX-PN

Category - Basic Care

Aneurysm precautions are ordered for a client admitted with a diagnosis of cerebral aneurysm. The nurse understands that aneurysm precautions include the following actions except:
  1. Limit visitors
  2. Avoid stool softeners
  3. Maintain a darkened room
  4. Assist the client in semi-Fowler’s position
Explanation
Answer: B - Aneurysm precautions include stool softeners, maintenance of a darkened room, limited visitors, and bedrest in semi-Fowler’s position. The nurse should also monitor for hypertension.
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