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. Determine the location of the pain. The nurse should first assess the client's pain, including its location, intensity, quality, and factors that alleviate or exacerbate it. This assessment is critical to determining the most appropriate intervention and evaluating the effectiveness of the treatment.
B. Reposition the client: Repositioning is a valid nursing intervention for managing pain caused by discomfort or poor positioning. However, it should not be the first action, as the nurse must first assess the pain to determine if repositioning alone is sufficient or if medication is necessary.
C. Review the effects of the pain medication: While reviewing the effects of the prescribed medication is important to ensure its appropriateness and safety, this step is part of preparation for medication administration. It is not the first action; assessment of the client's pain takes priority.
D. Administer the medication: Administering pain medication without assessing the client's pain is not appropriate. Pain management should be individualized, and assessment ensures that the prescribed medication is suitable for the client's current pain and condition.
Correct Answer is ["C","D","E","F"]
Explanation
A. "Meditation is a complementary therapy that focuses on the use of medications to reduce stress." Meditation is a mind-body practice focused on relaxation and mindfulness, not medications.
B. "Integrative therapies are often used as a substitute for conventional medical treatments." Integrative therapies complement conventional treatments, not replace them.
C. "Yoga can be considered a complementary therapy that combines physical postures, breathing exercises, and relaxation techniques." Yoga is widely recognized as a complementary therapy that promotes physical and mental well-being.
D. "Complementary therapies are used alongside conventional treatments to improve overall well-being." This describes the primary purpose of complementary therapies in healthcare.
E. "Acupuncture is a type of complementary therapy that involves inserting fine needles into specific points on the body." Acupuncture is a well-established complementary therapy in managing pain and other conditions.
F. "Herbal supplements can interact with prescription medications, potentially leading to adverse effects." This is an important consideration for client safety in complementary therapy.
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