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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Joint contractures are a long-term concern, not an immediate threat during the emergent phase.
B. Hypovolemic shock due to fluid loss is a primary concern in the emergent phase of a burn injury.
C. Fluid overload is not a primary concern in the emergent phase, though it could be a concern in the later resuscitative phase.
D. Adrenal failure is not typically an immediate concern in the emergent phase of burn care.
Correct Answer is B
Explanation
A. Transport victim to hospital: While transport to the hospital is necessary, it is not the immediate priority when the victim is still on fire.
B. Stop, drop, and roll: The first action for someone whose clothing is on fire is to stop, drop, and roll to extinguish the flames and prevent further burns.
C. Cover victim with clean cloth or sheet: Covering with a clean cloth is important after the flames have been extinguished but not the first step when the victim is still burning.
D. Remove all nonadherent clothing and jewelry: Removing clothing and jewelry should be done after the flames are extinguished and initial care has been administered.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.