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?
Remind the client of the day and time often.
Offer the client several choices at mealtimes.
Avoid discussing the client's fears.
Alternate daily caregivers.
The Correct Answer is A
A. Correct.
Option A, reminding the client of the day and time often, aligns with this goal. Orienting the individual to time and place can help reduce confusion and disorientation commonly associated with delirium.
B. Incorrect. Offering the client several choices at mealtimes, might not directly address the issue of orientation and may potentially overwhelm the individual, exacerbating their confusion.
C. Incorrect. Discussing the client's fears and addressing their concerns is important for providing appropriate care and support.
D. Incorrect. Alternating daily caregivers may increase confusion for the client experiencing delirium. Consistency in care providers can be beneficial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. The American Academy of Pediatrics (AAP. recommends keeping infants rear-facing in their car seats until at least the age of 2, or until they reach the maximum weight and height limits recommended by the car seat manufacturer. This is to ensure optimal safety for the child's head, neck, and spine.
B. Incorrect. The retainer clip should be positioned at armpit level to ensure proper fit of the harness straps.
C. Incorrect. While it's important to ensure the proper recline angle of the car seat, the specific angle may vary based on the car seat manufacturer's instructions.
D. Incorrect. It is not safe to enable the airbag when a baby is in the front seat, as airbags can be dangerous for infants due to their size and vulnerability.
Correct Answer is C
Explanation
A. Incorrect. Opening the fireplace dampers may allow external contaminants to enter the facility and is not recommended during an external chemical disaster.
B. Incorrect. Covering electrical outlets with wet towels may not provide effective protection against chemical contaminants and is not a recommended action.
C. Correct. Moving clients to a room above ground with few windows helps protect them from potential exposure to external chemical contaminants. Windows can allow contaminants to enter, and an aboveground location can reduce the risk of exposure.
D. Incorrect. Turning on fans may circulate contaminated air throughout the facility and is not recommended during a chemical disaster.
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