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 A
Explanation
A. Hypertension: Decreased blood vessel elasticity can lead to increased vascular resistance, resulting in hypertension.
B. Confusion: While confusion can result from poor circulation, it is not a direct result of decreased blood vessel elasticity.
C. Retained secretions: Retained secretions are more related to respiratory issues rather than circulatory changes.
D. Tachycardia: Tachycardia is an increased heart rate and is not a direct result of decreased blood vessel elasticity.
Correct Answer is D
Explanation
A. Is commonly known as a cold sore: Cold sores are typically caused by herpes simplex type 1 (HSV-1), not type 2.
B. Usually affects the labia in women. While HSV-2 can affect the labia, it is not exclusive to this area and can affect other genital regions in both men and women.
C. Is characterized by a vesicle at the corner of the mouth, lips, or nose. These symptoms are more characteristic of HSV-1.
D. Is often associated with lesions in the genital area. Herpes simplex type 2 (HSV-2) is primarily associated with genital herpes, causing lesions and outbreaks in the genital and anal areas.
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