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?

1. 1. 1. Request that the client's family bring the client's eyeglasses from home: This is important to ensure that the client has optimal vision and can see clearly, considering their visual loss. Having their eyeglasses will improve their ability to communicate and understand their surroundings.
      2. Reorient the client often: Reorientation is important for clients who may be disoriented due to their medical condition or unfamiliar environment. Regularly reminding the client of their location, date, and situation can help them maintain orientation.
      3. Acknowledge the client's feelings: Acknowledging and validating the client's feelings can help establish rapport and promote a therapeutic relationship. It shows empathy and understanding, which can contribute to the client's overall well-being.
      4. Provide the client with information about what to expect during their care: Providing information to the client about their care helps promote autonomy and active participation in their own healthcare. It can reduce anxiety and improve the client's overall experience.
      5. Write the full date on the client's whiteboard: Clearly documenting the full date on the client's whiteboard helps the client stay oriented to the current date and time.
      6. Maintain a well-lit environment: Ensuring a well-lit environment is important, especially for clients with visual impairment. Sufficient lighting can enhance the client's ability to see and navigate their surroundings.

It's worth noting that while asking the client's partner to stay with the client as much as possible may be beneficial, it may not always be feasible or within the nurse's control. Additionally, requesting the client to have the same caregivers with every shift may not be possible due to staffing constraints.

Create an opening on the skin barrier that is 1.27 cm (0.5 in) larger than the client's stoma: It is important to ensure that the opening in the skin barrier is slightly larger than the stoma to prevent irritation or pressure on the stoma. This allows for proper fit and helps maintain a secure seal.

Use a mild, non-irritating soap or specifically designed ostomy cleanser to clean the skin around the client's stoma: Harsh soaps or cleansers can irritate the skin around the stoma. Using a moisturizing or gentle cleanser helps maintain the integrity of the skin and reduces the risk of irritation or breakdown.

Empty the client's ostomy pouch before removing the skin barrier: It is important to empty the ostomy pouch to prevent leakage or spillage during the appliance change. This helps maintain cleanliness and prevents potential contamination or soiling of the surrounding area.

The timing of the ostomy appliance change is not specified in the given options. The appropriate timing for changing the ostomy appliance depends on the individual client's needs and preferences. It may be helpful to consider factors such as the client's comfort, schedule, and amount of output in determining the best time for the appliance change. This instruction is not necessary for the teaching session.