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. Wear gloves only if the skin appears broken or inflamed. Gloves should be worn to protect both the patient and the nurse from infection regardless of the appearance of the skin.
B. Ask the patient about personal skin care. Understanding the patient's personal skin care practices can provide insight into potential issues and areas needing attention.
C. Avoid potentially embarrassing questions about rashes or scars. Addressing rashes or scars is crucial for proper assessment and treatment, despite potential embarrassment.
D. Have artificial, preferably fluorescent, lighting for proper illumination of the skin. Proper lighting is important, but asking about personal skin care can provide additional context and help with a thorough assessment.
Correct Answer is B
Explanation
A. The drug is addictive. LSD is not typically considered addictive as it does not cause physical dependence.
B. The drug causes flashbacks. One of the greatest problems with LSD is the occurrence of flashbacks, where the person re-experiences aspects of the drug effects long after use.
C. The drug stimulates drug-seeking behavior. While this can be an issue, it is not the most significant problem with LSD use.
D. The drug sets off hypertensive episodes. Hypertension is not a common or primary issue with LSD use.
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