问题 单项选择题

The nurse is caring for a client with an acute bleeding cerebral aneurysm. Which of the following activities is not appropriate in nursing care()

A. Position the client to prevent airway obstruction.

B. Keep the client in one position to decrease bleeding.

C. Administer IV fluid as ordered and monitor the client for signs of fluid volume excess.

D. Maintain the client in a quiet environment.

答案

参考答案:B

解析:

The nurse shouldn’t keep the client in one position but rather carefully reposition the client often (at least every hour). The client needs to be positioned so that a patent airway can be maintained. Fluid administration must be closely monitored to prevent complications such as increased intracranial pressure. The client must be maintained in a quiet environment to decrease the risk of rebleeding.

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