What should a nurse prioritize when planning care for a client with a cerebral aneurysm?

Maintaining the client on absolute bed rest is the priority when planning care for a client with a cerebral aneurysm. This approach is crucial because it minimizes the risk of increased intracranial pressure (ICP) and reduces the likelihood of aneurysm rupture. Activities that involve physical exertion, even minor ones, can inadvertently elevate blood pressure and ICP, potentially leading to severe complications.

Bed rest not only helps in stabilizing the patient's condition but also allows for closer monitoring of any changes in neurological status. This is critical in ensuring prompt recognition of any deterioration that may indicate complications such as rupture or vasospasm. In this context, it is essential to create an environment that promotes recovery while ensuring the patient's safety.

Other options, such as encouraging daily physical therapy or allowing for increased social interaction, could lead to unnecessary strain and stress on the client's condition, further complicating recovery. Frequent vital sign checks, while important for monitoring the patient's status, do not take precedence over the necessity for strict bed rest in the acute phase of managing a cerebral aneurysm. Therefore, prioritizing absolute bed rest aligns with the best practices for ensuring the well-being of a client with this condition.