This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: Which client is at greatest risk of sensory overload? A) a 17-year-old on bed rest after a ... (Read 105 times)

sheilaspns

  • Hero Member
  • *****
  • Posts: 567
on: Jul 22, 2018
Which client is at greatest risk of sensory overload?
 
  A) a 17-year-old on bed rest after a surgical procedure
  B) a 55-year-old, newly diagnosed with diabetes in a private room in a hospital
  C) an 88-year-old on a ventilator in an intensive care unit
  D) an 8-year-old in isolation in a private room in a hospital

Question 2

A client has received morphine for reports of pain at a recent surgical incision site. After receiving the medication, the client starts picking at the bedsheets and saying, Get the bugs off my bed, I can feel them crawling on me
 Which nursing diagnosis is appropriate for this client?

A) Disturbed Sensory Perception: Kinesthetic related to side effects of medication as evidenced by client statement of Get the bugs off my bed, I can feel them crawling on me.
 B) Disturbed Sensory Perception: Tactile as evidenced by client statement of Get the bugs off my bed, I can feel them crawling on me.
 C) Disturbed Sensory Perception related to client statement of Get the bugs off my bed, I can feel them crawling on me.
 D) Disturbed Sensory Perception: Tactile related to side effects of medication as evidence by client statement of Get the bugs off my bed, I can feel them crawling on me.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

kswal303

  • Sr. Member
  • ****
  • Posts: 316
Reply #1 on: Jul 22, 2018
Answer to Question 1

Ans: C
Feedback:
Intensive care units, mechanical ventilators, lengthy verbal explanations prior to procedures, and decreased cognitive ability (e.g., head injury) are all risk factors for sensory overload. Private rooms, mobility restraints (such as traction or bed rest), isolation, and few visitors are all risk factors for sensory deprivation.

Answer to Question 2

Ans: D
Feedback:
The correctly written nursing diagnosis is Disturbed Sensory Perception: Tactile related to side effects of medication as evidence by client statement of Get the bugs off my bed, I can feel them crawling on me. Since the nursing diagnosis is not a risk for diagnosis, it must have a related to and as evidenced by statement.


sheilaspns

  • Hero Member
  • *****
  • Posts: 567
Reply #2 on: Jul 22, 2018
Both answers were spot on, thank you once again


kswal303

  • Sr. Member
  • ****
  • Posts: 316
Reply #3 on: Jul 22, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

Adolescents often feel clumsy during puberty because during this time of development, their hands and feet grow faster than their arms and legs do. The body is therefore out of proportion. One out of five adolescents actually experiences growing pains during this period.

Did you know?

It is believed that the Incas used anesthesia. Evidence supports the theory that shamans chewed cocoa leaves and drilled holes into the heads of patients (letting evil spirits escape), spitting into the wounds they made. The mixture of cocaine, saliva, and resin numbed the site enough to allow hours of drilling.

Did you know?

The most dangerous mercury compound, dimethyl mercury, is so toxic that even a few microliters spilled on the skin can cause death. Mercury has been shown to accumulate in higher amounts in the following types of fish than other types: swordfish, shark, mackerel, tilefish, crab, and tuna.

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

Did you know?

There are actually 60 minerals, 16 vitamins, 12 essential amino acids, and three essential fatty acids that your body needs every day.

Changes in boreal forest composition along a chronosequence in Quebec. Dates refer to the year of th Changes in boreal forest composition along a chronosequence in Quebec. Dates refer to the year of th
Intervention Model-Response to Client Misconduct Intervention Model-Response to Client Misconduct
Client and therapist positioning for foot reflexology. Client and therapist positioning for foot reflexology.
Chocolate May Lower the Risk of Stroke in Men Chocolate May Lower the Risk of Stroke in Men
Classification of Sensory Receptors Classification of Sensory Receptors
Video: Aneurysm

For a complete list of videos, visit our video library