After a cerebral aneurysm repair, which nursing intervention is contraindicated due to increased ICP?

Coughing can significantly increase intracranial pressure (ICP) due to the sudden increase in thoracic and intra-abdominal pressure during the act of coughing. After a cerebral aneurysm repair, patients need to minimize any activities that could elevate ICP to prevent complications such as hemorrhage or further brain injury. Therefore, encouraging or permitting regular coughing is contraindicated in this scenario.

In contrast, leg exercises, monitoring intravenous therapy, and assessing vital signs are important nursing interventions that help maintain circulation, ensure proper hydration and medication delivery, and monitor the patient's overall status without posing a risk of increased ICP. These actions are essential to the recovery process and can often be safely performed even after such a delicate surgical procedure.