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.
Building competency in patient centered care
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