The nurse is caring for a client diagnosed with a cerebral aneurysm. Which precautions would the nurse put in place for this client? Select all that apply.

  • keep the room dark and avoid direct, bright lights
  • allow frequent visitors to provide social interaction to the client
  • administer deep vein thrombosis (DVT) prophylaxis as ordered
  • encourage the client to breathe deep and cough to clear secretions
  • keep the client on bed rest in a side-lying or semi-Fowler’s position
Numbers 1, 3, and 5 are correct.
Clients with a cerebral aneurysm need a quiet, non-stimulating environment. This client is at risk for DVT, so the appropriate DVT prophylaxis should be administered as prescribed. The client should be on bed rest in a side-lying or semi-Fowler’s position. Visitors should be limited to avoid overstimulation. The client should not be encouraged to cough or perform other activities that mimic the Valsalva maneuver. Stool softeners should be given to avoid straining with bowel movements.