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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Related Questions
Correct Answer is B
Explanation
Herpes simplex is a viral infection that causes skin eruptions or lesions. To promote healing and prevent secondary infections, it is important to keep the affected area clean. Cleansing the skin eruptions with povidone-iodine, an antiseptic solution, can help reduce the risk of infection and promote healing.
The other options are incorrect:
Over-the-counter topical ointments are generally not recommended for the treatment of herpes simplex outbreaks. It is best to consult with a healthcare provider for appropriate medication and treatment options.
Herpes simplex is a viral infection, and antibiotics are used to treat bacterial infections. Antibiotics are not effective against viral infections like herpes simplex.
Placing disposable thermometers in the client's room is not directly related to the management of a herpes simplex outbreak. It is important to focus on interventions specific to the client's condition.
Correct Answer is C
Explanation
The Semi-Fowler's position is a sitting position with the head of the bed elevated at an angle between 30 to 45 degrees. This position helps to reduce swelling and promote comfort and respiratory function after a thyroidectomy. The elevation of the head and upper body helps to prevent pressure on the surgical site, reduces the risk of swelling, and facilitates breathing.
Dorsal recumbent in (option A) is incorrect because it, is a supine position with the knees flexed and the feet flat on the bed. This position is not typically used postoperatively for a subtotal thyroidectomy.
Supine in (option B) is incorrect because it, is a position where the client lies flat on their back with their face up. While this position may be used for some postoperative clients, it is not the best choice for a client who has undergone a thyroidectomy due to the risk of swelling and respiratory discomfort.
Left latera in (option D) is incorrect because it, is a side-lying position on the left side. This position may be used for clients undergoing certain surgical procedures or for certain medical conditions, but it is not specifically indicated for a client who has had a subtotal thyroidectomy.
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