A nurse is caring for a hospitalized client who is experiencing sensory overload due to the hospital environment. Which of the following actions should the nurse take?
Encourage visitors throughout the day.
Provide the client with earplugs.
Spread client care activities throughout the shift.
Keep the door to the client's room open.
The Correct Answer is B
A. Encourage visitors throughout the day: Increased visitor interactions may worsen sensory overload by adding more stimuli.
B. Provide the client with earplugs. Earplugs help reduce environmental noise and sensory input, addressing the client's sensory overload and promoting rest and comfort.
C. Spread client care activities throughout the shift: Consolidating care activities, rather than spreading them out, minimizes interruptions and helps reduce sensory input.
D. Keep the door to the client's room open: Keeping the door open can increase noise and stimuli, exacerbating sensory overload.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Developing and implementing a culturally competent health education program tailored to underserved populations to improve access to preventive services. This action aligns with Healthy People 2030’s goals to reduce health disparities by addressing cultural and linguistic needs while improving access to care, particularly preventive services. This demonstrates a proactive and equitable approach.
B. Prioritizing high-cost interventions for clients with advanced diseases while not addressing preventive care for at-risk populations. This approach does not align with Healthy People 2030’s focus on prevention and reducing health disparities. It emphasizes reactive care rather than addressing upstream factors that lead to disparities.
C. Providing standard health education materials to all clients without regard for their cultural, linguistic, or socioeconomic backgrounds. Providing standard materials without customization overlooks individual needs, perpetuating health disparities rather than addressing them.
D. Focusing only on individual client care in a clinic without considering social determinants of health that may affect the client's well-being. Social determinants of health are critical in reducing disparities, and neglecting these factors is inconsistent with Healthy People 2030’s objectives.
Correct Answer is ["B","C","D"]
Explanation
A. "You should avoid using the PCA system if you feel that the pain is manageable without medication." This is misleading as the PCA system is intended for effective pain control; clients are encouraged to use it before pain becomes severe.
B. "The PCA system is designed with safety features to prevent you from receiving too much medication." This reassures clients about the system's safety features, such as lockout mechanisms that prevent overdose.
C. "The PCA system is programmed to deliver a specific dose of medication each time you press the button." This explains how the device is pre-programmed by healthcare providers to deliver a safe, therapeutic dose.
D. "You will be able to administer pain medication to yourself by pressing the PCA button whenever you need it." This empowers the client to take control of their pain management within the limits set by the PCA system.
E. "Family members should press the PCA button for you if you are unable to do so yourself." This is unsafe. Only the client should press the PCA button to avoid overmedication or dosing errors.
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