A patient is admitted to the hospital with a severe headache and photophobia. A lumbar puncture confirms a bleeding aneurysm. What nursing interventions should the nurse anticipate assisting with to prevent increased intracranial pressure (ICP) during the acute phase of illness?

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When a patient presents with a bleeding aneurysm, it is important to prevent increased intracranial pressure (ICP) during the acute phase of illness. To achieve this, the nurse should maintain a quiet environment, keeping the head of the bed up to promote venous drainage and reduce ICP. Stool softeners (A) should be administered to prevent straining during bowel movements, which can increase ICP. Morphine (B) may be given for pain relief, but it can also depress the respiratory system and lead to increased ICP. Dark glasses (B) may also be useful for photophobia, but they do not prevent increased ICP. Expectorants (B) are not indicated for this condition. Range of motion exercises, bedside commode, and suctioning as needed (C) are not appropriate interventions for preventing increased ICP. Coughing and deep breathing exercises (D) are not recommended as they can increase ICP. Tranquilizers (D) should be avoided because they can cause respiratory depression, leading to increased CO2 levels, which can further increase ICP.

A Patient Is Admitted to the Hospital with a Severe