A nurse is caring for an older adult client who has acute delirium. Which of the following actions should the nurse take first?
Determine the client's level of consciousness
Administer an anxiolytic medication.
Keep lights on in the client's room.
Encourage visits from family members.
The Correct Answer is A
Choice A Reason:
Determining the client's level of consciousness is correct. Delirium is characterized by a sudden change in mental status, including altered consciousness, confusion, and impaired attention. Assessing the client's level of consciousness helps the nurse understand the severity of the condition and whether the client is experiencing any immediate risks.
Choice B Reason:
Administer an anxiolytic medication is incorrect. Medication administration should not be the first action because the nurse needs to assess the client's condition first to determine if medication is appropriate. Additionally, the underlying cause of the delirium should be identified and treated if possible.
Choice C Reason:
Keep lights on in the client's room is incorrect. While maintaining proper lighting can be important for safety, it is not the first action because it doesn't address the underlying cause or assess the client's level of consciousness.
Choice D Reason:
Encouraging visits from family members is incorrect. Involving family members can provide emotional support, but it's not the first action because the client's condition should be assessed and stabilized before involving others in care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Presenting information from complex to simple: While it's important to simplify complex medical information, presenting it from complex to simple in a brochure may not be the best approach for general public education. Starting with complex information could potentially overwhelm and confuse readers.
Choice B Reason:
Write the information at an 8th-grade reading level is correct. When developing educational materials like brochures for the community, it's important to use language that is easily understandable by the target audience. Writing the information at an 8th-grade reading level ensures that the content is accessible to a wide range of individuals with varying levels of education and literacy. This approach promotes effective communication and helps ensure that more people can access and understand the information about hypertension and its management.
Choice C Reason:
Explaining medical terminology using basic, one-syllable words: While simplifying medical terminology is essential, using only one-syllable words may oversimplify the content and may not adequately convey important information about hypertension.
Choice D Reason:
Using a 12-point font size: Font size is important for readability, but using a specific font size like 12-point may not be sufficient on its own to ensure readability. Factors such as the choice of font style, spacing, and layout are also critical for making the brochure easy to read.
Correct Answer is A
Explanation
Choice A Reason:
Believing that bad behavior is causing a sibling's death is a specific concern that some children may have.
Choice B Reason:
Believes that his brother's death will be reversible is incorrect. This is common among children wsho are 3-5 years old.
Choice C Reason:
Alienating oneself from peers can happen as a coping mechanism for some children, but it is not the expected response for all school-age siblings.
Choice D Reason:
Regressing to an earlier developmental level can occur in response to stress, but it is not the expected response for all school-age siblings and may not happen in every case.
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