A nurse is caring for a client who has cardiomyopathy and is experiencing sensory overload.Which of the following actions should the nurse take?
Place the client in a room near the nurses' station.
Break up nursing care into small, frequent sessions.
Ensure the blinds in the client's room remain open.
Play quiet music in the client's room.
The Correct Answer is B
Choice A rationale
Placing the client near the nurses' station may increase sensory overload due to increased noise and activity.
Choice B rationale
Breaking up nursing care into small, frequent sessions helps prevent overwhelming the client and reduces sensory overload.
Choice C rationale
Keeping the blinds open can add to sensory overload from excessive light and external stimuli.
Choice D rationale
Playing quiet music may be calming, but it does not directly address the need to reduce sensory input from various sources. .
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Related Questions
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"C"}
Explanation
The nurse should clarify the prescription for Digoxin due to the client's Irregular heart rhythm.
Rationale for correct prescription: Digoxin requires clarification because it can cause or exacerbate irregular heart rhythms. The client's irregular heart rhythm could indicate digoxin toxicity or an inappropriate dose. Monitoring and adjusting the digoxin prescription can prevent complications. Digoxin is used to control atrial fibrillation but needs careful management. Clarification ensures safe and effective use.
Rationale for other options: Warfarin does not need immediate clarification as there is no indication of excessive bleeding risk. Metoprolol is unlikely to be the cause of irregular rhythm in this scenario. Atorvastatin, used for hyperlipidemia, does not affect heart rhythm. Reported dizziness can be due to various causes and is not specific to digoxin. Palpitations are common in atrial fibrillation and need broader management beyond digoxin adjustment. Irregular heart rhythm strongly points to potential issues with digoxin. Bleeding risk pertains to warfarin management, not relevant here.
Clarification of digoxin is the priority due to direct impact on heart rhythm and patient safety.
Correct Answer is C
Explanation
Choice A rationale
Administering a broad-spectrum antibiotic is not appropriate for tinea corporis, which is a fungal infection. Antifungal medications are needed.
Choice B rationale
Isolating the client for 24 hours after lesions appear is not necessary, as tinea corporis is not a severe infection requiring isolation.
Choice C rationale
Avoiding direct contact is essential to prevent the spread of the fungal infection.
Choice D rationale
Placing the client on airborne precautions is not needed for tinea corporis, as it is not an airborne infection.
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