A nurse is contributing to the plan of care for a client who is experiencing delirium. Which of the following interventions should the nurse recommend?
Avoid discussing the client's fears.
Offer the client several choices at mealtimes.
Remind the client of the day and time often.
Alternate daily caregivers.
The Correct Answer is C
Delirium is a state of acute confusion and cognitive impairment that can cause disorientation and difficulty with time perception. Reminding the client of the day and time frequently helps provide orientation and reduce confusion. It can help ground the client in reality and improve their understanding of their current circumstances.
A. Avoiding discussing the client's fears can hinder their ability to express and address their concerns. It is important to provide a safe and supportive environment where the client can communicate their fears and feelings.
B. Offering the client several choices at mealtimes might be overwhelming and confusing for someone experiencing delirium. It is generally better to provide structure and simplicity in their meal options, reducing decision-making demands.
D. Alternating daily caregivers can disrupt the continuity of care and increase the client's confusion. Consistency in the caregiving team can help establish a therapeutic relationship and familiarity, which can aid in managing delirium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a.Creases in the stockings can cause pressure points, which may lead to skin breakdown or impaired circulation. Stockings should be applied smoothly without any creases.This action requires correction.
b.Turning the stockings inside out before applying them is actually a recommended technique. This method helps ensure that the stockings are applied smoothly and reduces the risk of wrinkles, which can cause discomfort or skin issues.
c.This is appropriate as it helps prevent blood from pooling in the legs, which is a key function of antiembolic stockings.
d.This helps in smoothly sliding the stockings over the foot and ankle, making the application easier.
Correct Answer is D
Explanation
Correct answer: D
A) Encouraging the client to discuss the decision with her family can provide emotional support and help in decision-making.
B.Given that the client has already decided to stop dialysis treatment, discussing alternative treatment methods may not align with the client's wishes. It's essential for the nurse to respect the client's decision and provide support rather than trying to persuade the client to reconsider their decision.
C) Asking the facility chaplain to visit the client can offer emotional and spiritual support, addressing the client's needs in that aspect.
D. Supporting the client's decision to stop dialysis treatment is essential for respecting the client's autonomy and dignity. The nurse should provide emotional support, educate the client about what to expect, and ensure that appropriate palliative care measures are in place to keep the client comfortable and provide symptom management.
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