A patient has been admitted with a diagnosis of hypoactive ...

[Medesa]

A patient has been admitted with a diagnosis of hypoactive delirium. Which nursing in-tervention is supported by this diagnosis?
 
  a. Encouraging fluids to minimize constipation
  b. Frequently assessing both visual and auditory hallucinations
  c. Scheduling frequent changing of position to prevent skin breakdown
  d. Dimming the lights to help control eye discomfort resulting from cataracts

Question 2

A teen says to the school nurse, Huffing is harmless. There are no reasons not to sniff inhalants. The nurse can reply knowing that (select all that apply):
 
  a. Such behavior can result in irreversible hearing impairment.
  b. There has been minimal research done on the effects in teens.
  c. Long-term use can result in poor short- and long-term memory.
  d. Irreversible kidney damage is often observed with even casual use.
  e. Research indicates both central nervous system and bone marrow damage.

[Perkypinki]

Answer to Question 1

ANS: C
Because of inactivity, hypoactive delirium patients are more likely to develop further com-plications, including decubiti that could be minimized by frequent repositioning. The remain-ing options identify interventions that are not generally a result of this diagnosis.

Answer to Question 2

ANS: A, C, E
Research as shown that even teens who engage in sniffing high concentrations on inhalants often experience hearing loss, CNS and bone marrow damage, and impaired cognitive func-tion. Kidney impairment is often seen as reversible.