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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Epinephrine is a medication that belongs to a class of drugs called adrenergic agonists. It works by stimulating certain receptors in the body, particularly alpha and beta adrenergic receptors.
One of the effects of epinephrine is vasoconstriction, which can help reduce swelling and inflammation.
Swelling of the lips, also known as angioedema, can occur as an allergic reaction to certain substances, such as foods, medications, or insect bites. Epinephrine acts as an immediate treatment for severe allergic reactions, including angioedema, by constricting blood vessels and reducing swelling.
The other manifestations mentioned, such as hyperglycemia (high blood sugar), hand tremors, and nausea, are not typically treated with epinephrine. Epinephrine's primary role is to address severe allergic reactions, anaphylaxis, or potentially life-threatening conditions associated with allergic responses
Correct Answer is C
Explanation
Phenytoin is known to cause gingival hyperplasia, which is characterized by swollen and enlarged gums. This side effect is more common in long-term use and may require dental care and regular oral hygiene practices.
Phenytoin is known to be associated with an increased risk of birth defects in babies born to women taking the medication during pregnancy. It is important for women of childbearing age to discuss the risks and benefits of phenytoin with their healthcare provider and use effective contraception to avoid pregnancy while taking the medication.
Phenytoin can affect liver function, so regular monitoring of liver enzymes and blood levels of the medication is necessary. The frequency of blood work may vary depending on the individual's specific situation, so it is important to follow the healthcare provider's instructions.
It is not advisable to skip a dose of phenytoin without consulting a healthcare provider. Abruptly stopping or missing doses of antiepileptic medications can lead to breakthrough seizures or other complications. Any changes in the medication regimen should be discussed with the healthcare provider.
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