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.
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Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. Place throw rugs and carpets throughout the home to add comfort and warmth: Throw rugs and carpets can increase the risk of falls, especially for clients with vision impairments. They should be avoided.
B. Ensure that all electrical cords and wires are secured against walls and out of walkways: Preventing tripping hazards is critical for a client with vision impairment.
C. Install bright, overhead lighting in every room and hallway to improve visibility: Adequate lighting is essential for clients with glaucoma to help them navigate safely.
D. Encourage the client to use a walking stick or guide dog when moving around the home: This enhances mobility and safety for clients with decreased vision by providing support and guidance.
E. Label kitchen cabinets and drawers with large-print, high-contrast labels: This helps the client identify items more easily and reduces the risk of injury or confusion.
Correct Answer is A
Explanation
A. Patient-centered care: Nursing education heavily emphasizes patient-centered care, as it is foundational to nursing practice and critical for promoting client well-being.
B. Teamwork and collaboration. While teamwork is taught, it is often more extensively developed in clinical practice settings.
C. Evidence-based practice. Although evidence-based practice is a focus in nursing education, new graduates often require additional experience to apply it effectively.
D. Quality improvement. Quality improvement processes are introduced in nursing school but may not be as emphasized compared to patient-centered care.
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