Author Question: What is the priority intervention for a patient with delirium who has fluctuating levels of ... (Read 98 times)

neverstopbelieb

  • Hero Member
  • *****
  • Posts: 534
What is the priority intervention for a patient with delirium who has fluctuating levels of consciousness, disturbed orientation, and perceptual alterations?
 
  a. Avoidance of physical contact
  b. High level of sensory stimulation
  c. Careful observation and supervision
  d. Application of wrist and ankle restraints

Question 2

Which environmental adjustment should the nurse make for a patient with delirium and perceptual alterations?
 
  a. Keep the patient by the nurse's desk while the patient is awake. Provide rest periods in a room with a television on.
  b. Light the room brightly day and night. Awaken the patient hourly to assess mental status.
  c. Maintain soft lighting day and night. Keep a radio on low volume continuously.
  d. Provide a well-lit room without glare or shadows. Limit noise and stimulation.



heinisk01

  • Sr. Member
  • ****
  • Posts: 329
Answer to Question 1

ANS: C
Careful observation and supervision are of ultimate importance because an appropriate outcome would be that the patient remains safe and free from injury while hospitalized. Physical contact during care cannot be avoided. Restraint is a last resort, and sensory stimulation should be reduced.

Answer to Question 2

ANS: D
A quiet, shadow-free room offers an environment that produces the fewest sensory perceptual distortions for a patient with cognitive impairment associated with delirium. The other options have the potential to produce increased perceptual alterations.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

People about to have surgery must tell their health care providers about all supplements they take.

Did you know?

There are more sensory neurons in the tongue than in any other part of the body.

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

Did you know?

About 600,000 particles of skin are shed every hour by each human. If you live to age 70 years, you have shed 105 pounds of dead skin.

Did you know?

Interferon was scarce and expensive until 1980, when the interferon gene was inserted into bacteria using recombinant DNA technology, allowing for mass cultivation and purification from bacterial cultures.

For a complete list of videos, visit our video library