A nurse is contributing to the plan of care for a client who is experiencing delirium. Which of the following interventions should the nurse recommend?
Avoid discussing the client's fears.
Offer the client several choices at mealtimes.
Remind the client of the day and time often.
Alternate daily caregivers.
The Correct Answer is C
Delirium is a state of acute confusion and cognitive impairment that can cause disorientation and difficulty with time perception. Reminding the client of the day and time frequently helps provide orientation and reduce confusion. It can help ground the client in reality and improve their understanding of their current circumstances.
Avoiding discussing the client's fears can hinder their ability to express and address their concerns. It is important to provide a safe and supportive environment where the client can communicate their fears and feelings.
Offering the client several choices at mealtimes might be overwhelming and confusing for someone experiencing delirium. It is generally better to provide structure and simplicity in their meal options, reducing decision-making demands.
Alternating daily caregivers can disrupt continuity of care and increase the client's confusion. Consistency in the caregiving team can help establish a therapeutic relationship and familiarity, which can aid in managing delirium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Explanation
C. I will wear a clean pair of cotton socks each day
Wearing a clean pair of cotton socks each day is an important aspect of foot care for individuals with diabetes. Here's why the other options are incorrect:
Using iodine to disinfect cuts on the feet in (option A) is not recommended for individuals with diabetes as it can be irritating to the skin and delay wound healing. It is best to clean cuts with mild soap and water and consult a healthcare professional for proper wound care.
Soaking feet in warm water every morning in (option B) is not recommended for individuals with diabetes. Prolonged exposure to water can increase the risk of dryness and cracking, leading to skin breakdown and infections. It is advisable to avoid prolonged soaking and to dry the feet thoroughly after washing.
Removing ingrown toenails at home in (option D) is not recommended for individuals with diabetes. Attempting to do so can result in injury and increase the risk of infection. It is important for individuals with diabetes to seek professional care for any foot-related concerns, including ingrown toenails.
In summary, the correct statement is C: "I will wear a clean pair of cotton socks each day." This demonstrates an understanding of the importance of foot hygiene and minimizing moisture to reduce the risk of fungal infections and foot complications for individuals with diabetes.
Correct Answer is D
Explanation
The APN, also known as a nurse practitioner or clinical nurse specialist, has advanced knowledge and expertise in pharmacology and medication management. They are trained to assess medication interactions, evaluate potential risks, and provide guidance to ensure safe and effective medication use.
The other members of the interdisciplinary team listed are not specifically trained to address medication interactions:
Social workers focus on addressing psychosocial aspects of care, such as emotional support, counseling, and resource coordination. While they may provide valuable assistance in various areas of the client's care, they typically do not have specialized knowledge in medication interactions.
Patient care technicians, also known as nursing assistants or certified nursing assistants, provide direct patient care under the supervision of nurses. They do not typically have the training or authority to address medication interactions.
Psychologists specialize in the assessment, diagnosis, and treatment of mental and emotional health concerns. While they may be involved in the client's overall care, including medication management for mental health conditions, their expertise lies primarily in psychological assessment and therapy rather than medication interactions.
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