The nurse is caring for a disoriented resident. Which ...

[rachel9]

The nurse is caring for a disoriented resident. Which intervention is most appropriate for the nurse to include when planning care for this patient?
 
  a. Ensure that activities are scheduled for the same time each day.
  b. Change care assignments for assistive personnel frequently to prevent burnout.
  c. Encourage autonomy by allowing the res-ident to choose clothes from the closet.
  d. Administer sedatives to calm the patient.

Question 2

The nurse is aware that an epidural hematoma warrants immediate intervention based on which criteria? (Select all that apply.)
 
  a. An epidural hematoma is related to bleeding from arterial venous source.
  b. An epidural hematoma can increase intra-cranial pressure (ICP) quickly.
  c. An epidural hematoma changes overall condition quickly.
  d. An epidural hematoma can cause death.
  e. An epidural hematoma can cause irre-versible brain damage.

[bassamabas]

Answer to Question 1

A
Keeping a routine leads to less confusion. Changing assistive personnel care assignments fre-quently is confusing for the resident. Choosing clothing from an entire closet is overwhelming for the confused resident; rather, giving the resident a few items to choose from encourages au-tonomy without increasing confusion. Sedatives should not be given to treat confusion.

Answer to Question 2

B, C, D, E
An epidural hematoma can increase ICP quickly, changes overall condition quickly, and can cause death or irreversible brain damage. Bleeding is related to an arterial source. An epidural hematoma is a medical emergency.