Author Question: A patient has hyperesthesia apparently associated with a neurological trauma. Which one of the ... (Read 29 times)

wenmo · **on:** Jul 22, 2018

A patient has hyperesthesia apparently associated with a neurological trauma. Which one of the following is an appropriate nursing intervention in regard to the patient's sense of touch?

a. Reminding the patient of the need to have frequent tactile contact
b. Keeping the patient loosely covered with sheets and blankets
c. Allowing the patient to lie motionless
d. Using touch as a form of therapy

Question 2

The nurse is preparing an older patient's evening medications. Which of the following does the nurse recognize as relatively safe for difficulty sleeping?

a. Benadryl (diphenhydramine)
b. Melatonin
c. Valerian
d. Lorazepam

blfontai · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B

Feedback
A Frequent tactile contact is not an appropriate intervention for the patient with hyperesthesia.
B If a patient is overly sensitive to tactile stimuli (hyperesthesia), the nurse must minimize irritating stimuli. Keeping bed linens loose to minimize direct contact with the patient and protecting the patient's skin from exposure to irritants are helpful measures.
C Allowing the patient to lie motionless is not an appropriate intervention for the patient with hyperesthesia.
D Using touch as a form of therapy would not be an appropriate nursing intervention for the patient with hyperesthesia.

Answer to Question 2

D
One group of medications that are relatively safe are the benzodiazepines such as lorazepam. These medications cause relaxation and antianxiety and hypnotic effects. Caution older adults about using over-the-counter antihistamines because their long duration of action can cause confusion, constipation, and urinary retention. Use of nonprescription sleeping aids is not advisable. Patients need to learn the risks associated with these drugs and should be aware that the U.S. Food and Drug Administration does not regulate herbal products.