A nurse is reinforcing teaching to a newly licensed nurse about risk factors for subarachnoid hemorrhage (SAH). Which of the following should the nurse include in the teaching?

A. Light sensitivity: While light sensitivity can occur with various neurological conditions, it is not a primary manifestation of a ruptured cerebral aneurysm. The more typical signs are related to sudden neurological changes such as loss of consciousness and visual disturbances.
B. Loss of consciousness: A ruptured cerebral aneurysm can lead to a sudden increase in intracranial pressure, which may result in a loss of consciousness. This is a critical sign of the severity of the rupture and the need for immediate medical intervention.
C. A dilated pupil: A dilated pupil may be observed following a ruptured cerebral aneurysm due to pressure on the third cranial nerve, which controls the constriction of the pupil. This is a significant neurological finding and is often seen in cases of increased intracranial pressure.
D. Visual disturbances: Visual disturbances, such as blurred or double vision, can occur due to the impact of increased pressure on the optic nerve or the brain areas responsible for visual processing. This is a common sign associated with ruptured cerebral aneurysms.
E. Nausea and vomiting: Nausea and vomiting are common symptoms following a ruptured cerebral aneurysm due to the increased intracranial pressure. These symptoms typically occur due to irritation of the vomiting center in the brain or pressure exerted on the brainstem.
F. Numbness on one side of the face: Numbness typically occurs when there is direct damage to a specific area of the brain that controls sensation. Numbness on one side of the face is more likely to result from a stroke or other ischemic event rather than a ruptured cerebral aneurysm, which typically presents with more generalized symptoms.

A. "Discussing organ donation with the family": While organ donation is important, it is not the priority in the setting of an actively dying client. The primary concern at this stage should be addressing the immediate needs of the client and their family, focusing on emotional support and comfort.
B. "Communicating sensitively with the client and family.": When caring for a client who is actively dying, providing emotional support and clear communication with the family is critical. Sensitively addressing the family’s concerns and the client’s comfort is essential in this stage of care.
C. "Creating a plan for pain relief, nutrition, and hydration.": While ensuring pain relief is important, in the context of an actively dying patient, the focus should primarily be on comfort rather than ongoing interventions like nutrition and hydration, which may no longer be beneficial.
D. "Contacting the family's spiritual advisor.": While spiritual support is valuable, it should not be the first priority. Ensuring the client’s comfort and providing emotional support to the family should be prioritized initially, and the spiritual advisor can be contacted afterward if desired.