The family becomes distressed when the dying 85-year-old patient ...

[BRWH]

The family becomes distressed when the dying 85-year-old patient becomes delirious and laughs and talks with old friends who have long since died. Which intervention is most appropriate?
 
  a. Medicate the patient with the prescribed sedative.
  b. Encourage a family member to talk to the patient calmly.
  c. Stimulate and reorient the patient.
  d. Suggest the family to leave the patient for a while.

Question 2

The home health nurse is educating a 60-year-old patient with emphysema with a nutritional deficit. Which instructions should the nurse include in the teaching plan to address this problem? (Select all that apply.)
 
  a. Rest before eating.
  b. Avoiding gas-producing foods.
  c. Eat four to six small meals instead of three large meals.
  d. Lie down after eating.
  e. Take small bites and chew slowly.

[Jadwiga9]

Answer to Question 1

B
Delirious patients can still hear. A familiar voice is comforting. Medicating the patient with a sedative is not appropriate. Stimulating and trying to reorient the patient may cause the patient to become irritated. The family should remain with the patient.

Answer to Question 2

A, B, C, E
The patient should rest before eating to prevent fatigue. Foods that cause gas or bloating can lead to a distended stomach, which can increase work of breathing. Eating four to six small meals a day rather than three regular meals decreases stomach fullness and reduces fatigue. Taking small bites and chewing food slowly may help combat shortness of breath. The patient should avoid lying down for an hour after eating.

[BRWH]

Correct answers!

[Jadwiga9]

Great! Please up vote