What should the nurse do to decrease the patient's disorientation at night during the detoxification period?

Use nightlights and remove extra furniture from the room.

Place the patient in a room with another recovering patient.

Instruct the patient to orient himself to his surroundings at bedtime.

Wake the patient up every 4 hours to eat a small snack.

Answer and Explanation

The Correct Answer is A

A. Use nightlights and remove extra furniture from the room: Nightlights provide gentle lighting that can reduce disorientation, and removing extra furniture minimizes fall risk.
B. Place the patient in a room with another recovering patient. This might increase agitation and disrupt both patients' sleep.
C. Instruct the patient to orient himself to his surroundings at bedtime. This may not be effective due to the patient's disorientation during detoxification.
D. Wake the patient up every 4 hours to eat a small snack. Frequent waking can disrupt sleep patterns and increase confusion.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Fever: Fever can cause weakness or dizziness, but it is not a sudden cause of falling when getting up.
B. A decrease in venous return can contribute to orthostatic hypotension but is not a direct cause on its own.
C. Orthostatic hypotension is a common cause of sudden falls in older adults when they change positions, leading to dizziness or fainting.
D. Dehydration can lead to orthostatic hypotension but is not as direct a cause of sudden falls when getting up as orthostatic hypotension itself.

A. Hard-milled soap B. Perfumed soap C. Lotion soap D. Antibacterial soap

Correct Answer is B

Explanation

A. Hard-milled soap: Hard-milled soaps can be less irritating than other types, but it’s more about the ingredients rather than the milling process.
B. Perfumed soap: Perfumed soaps often contain alcohol and other chemicals that can dry and irritate the skin, making pruritus worse.
C. Lotion soap: Lotion soaps often contain moisturizers and can be less drying, so they are generally recommended for dry skin.
D. Antibacterial soap: Antibacterial soaps can be harsh and drying due to the active ingredients that kill bacteria.

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What should the nurse do to decrease the patient's disorientation at night during the detoxification period?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assisting an older adult patient out of bed when suddenly the patient begins to fall. What is the likely cause of the fall?

Correct Answer is C

Explanation

When assessing the skin of an older adult patient who is complaining of pruritus, what should the nurse advise the patient to avoid to reduce further drying of her skin?

Correct Answer is B

Explanation

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