A nurse is caring for a hospitalized client who is experiencing sensory overload due to the hospital environment. Which of the following actions should the nurse take?

Encourage visitors throughout the day.

Provide the client with earplugs.

Spread client care activities throughout the shift.

Keep the door to the client's room open.

Answer and Explanation

The Correct Answer is B

A. Encourage visitors throughout the day: Increased visitor interactions may worsen sensory overload by adding more stimuli.

B. Provide the client with earplugs. Earplugs help reduce environmental noise and sensory input, addressing the client's sensory overload and promoting rest and comfort.

C. Spread client care activities throughout the shift: Consolidating care activities, rather than spreading them out, minimizes interruptions and helps reduce sensory input.

D. Keep the door to the client's room open: Keeping the door open can increase noise and stimuli, exacerbating sensory overload.

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Correct Answer is A

Explanation

A. Level of sedation. Assessing sedation is the priority because excessive sedation could indicate opioid toxicity, which may precede respiratory depression.

B. Pain level. While assessing pain is essential, it is not the priority when evaluating the safety of opioid administration.

C. Pulse oximetry. Monitoring oxygenation is critical but follows the assessment of sedation, which directly relates to the risk of respiratory depression.

D. Blood pressure. Blood pressure monitoring is important but not as immediate a concern as sedation and respiratory function.

A. Meditation is a complementary therapy that focuses on the use of medications to reduce stress. B. Integrative therapies are often used as a substitute for conventional medical treatments. C. Yoga can be considered a complementary therapy that combines physical postures, breathing exercises, and relaxation techniques. D. Complementary therapies are used alongside conventional treatments to improve overall well-being. E. Acupuncture is a type of complementary therapy that involves inserting fine needles into specific points on the body. F. Herbal supplements can interact with prescription medications, potentially leading to adverse effects.

Correct Answer is ["C","D","E","F"]

Explanation

A. "Meditation is a complementary therapy that focuses on the use of medications to reduce stress." Meditation is a mind-body practice focused on relaxation and mindfulness, not medications.

B. "Integrative therapies are often used as a substitute for conventional medical treatments." Integrative therapies complement conventional treatments, not replace them.

C. "Yoga can be considered a complementary therapy that combines physical postures, breathing exercises, and relaxation techniques." Yoga is widely recognized as a complementary therapy that promotes physical and mental well-being.

D. "Complementary therapies are used alongside conventional treatments to improve overall well-being." This describes the primary purpose of complementary therapies in healthcare.

E. "Acupuncture is a type of complementary therapy that involves inserting fine needles into specific points on the body." Acupuncture is a well-established complementary therapy in managing pain and other conditions.

F. "Herbal supplements can interact with prescription medications, potentially leading to adverse effects." This is an important consideration for client safety in complementary therapy.

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A nurse is caring for a hospitalized client who is experiencing sensory overload due to the hospital environment. Which of the following actions should the nurse take?

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