A client in the intensive care unit will be less likely to ...

[CBme]

A client in the intensive care unit will be less likely to experience sensory overload in which situation?
 
  A) A clock displays date, time, and AM/PM.
  B) The nurse silences electronic equipment when safe to do so.
  C) The nurse provides touch every hour.
  D) The family visits as frequently as possible.

Question 2

A female client who underwent a mammogram earlier in the day is asked to have a breast ultrasound, and then informed that she demonstrates signs of breast malignancy. The nurse knows that the client is at risk for experiencing sensory:
 
  A) adaptation.
  B) deprivation.
  C) stimulation.
  D) overload.

[brittiany.barnes]

Answer to Question 1

Ans: B
Feedback:
Minimizing unnecessary noises can prevent sensory overload in clients. Disorientation can occur when expected day/night differences in levels of general activity are lost. To reduce such disorientation, provide a clock displaying a clear distinction of AM/PM time, day, and date. Touch and frequent visits may exacerbate sensory overload.

Answer to Question 2

Ans: D
Feedback:
When the RAS is overwhelmed with input, a person may experience sensory overload and feel confused, anxious, and unable to take constructive action.