« previous next »

Author Question: What is the priority intervention for a patient with delirium who has fluctuating levels of ... (Read 91 times)

neverstopbelieb

  • Hero Member
  • *****
  • Posts: 534
on: Jul 19, 2018
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
Reply #1 on: Jul 19, 2018
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
« previous next »
 

Did you know?

The most common childhood diseases include croup, chickenpox, ear infections, flu, pneumonia, ringworm, respiratory syncytial virus, scabies, head lice, and asthma.

Did you know?

The cure for trichomoniasis is easy as long as the patient does not drink alcoholic beverages for 24 hours. Just a single dose of medication is needed to rid the body of the disease. However, without proper precautions, an individual may contract the disease repeatedly. In fact, most people develop trichomoniasis again within three months of their last treatment.

Did you know?

In 1885, the Lloyd Manufacturing Company of Albany, New York, promoted and sold "Cocaine Toothache Drops" at 15 cents per bottle! In 1914, the Harrison Narcotic Act brought the sale and distribution of this drug under federal control.

Did you know?

Bacteria have been found alive in a lake buried one half mile under ice in Antarctica.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Nurses possess a wide variety of experiences which they take into each patient encounter. Nurses possess a wide variety of experiences which they take into each patient encounter.
The nurse can make observations about the patient's general appearance while talking with the p The nurse can make observations about the patient's general appearance while talking with the p
PET Scans of a Patient with Parkinsonian Symptoms PET Scans of a Patient with Parkinsonian Symptoms
Some playgrounds near streets with heavy traffic may still have high levels of lead from gasoline ... Some playgrounds near streets with heavy traffic may still have high levels of lead from gasoline ...
Medical assistant interviewing a patient. Medical assistant interviewing a patient.
Video: Polysaccharides

For a complete list of videos, visit our video library