Which postoperative nursing intervention is contraindicated for a patient with increased intracranial pressure after a cerebral aneurysm repair?

Coughing is contraindicated for a patient with increased intracranial pressure (ICP) after a cerebral aneurysm repair because it can significantly elevate intracranial pressure. When a patient coughs, intrathoracic pressure increases, which can subsequently increase the pressure within the cranial cavity. This increase can potentially jeopardize the surgical site and the patient’s overall neurological status.

In contrast, the other interventions—turning every two hours, monitoring intravenous therapy, and assessing vital signs—are essential components of postoperative care. Turning the patient helps prevent complications related to immobility, monitoring IV therapy ensures proper fluid balance and medication delivery, and frequent assessments of vital signs are crucial for early detection of complications, including changes in neurological status. Each of these interventions supports the patient's recovery while managing ICP safely.