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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Correct Answer is D

Explanation

A. Within 1 to 2 months. While some recovery may be seen within the first 1 to 2 months, it is typically an ongoing process, and significant improvements are often seen over a longer period.
B. Within 2 to 3 weeks. This timeframe is too short for significant recovery of neurologic function. Initial recovery is most rapid in the first few weeks, but continued improvement is expected over months.
C. Within 6 to 9 months. While recovery can continue up to 6 to 9 months or longer, most significant improvements in neurologic function occur within the first 3 to 6 months.
D. Within 3 to 6 months. This is the period during which the most significant recovery of neurologic function typically occurs following a stroke.

A. joint contractures B. hypovolemic shock. C. Fluid overload D. adrenal failure

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.

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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

When should family members of a stroke victim expect to see some of the neurologic involvement disappear?

Correct Answer is D

Explanation

Which is the greatest concern during the emergent phase of a burn injury?

Correct Answer is B

Explanation

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