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.
A. 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.
B. 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.
D. Alternating daily caregivers can disrupt the 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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Determine the acuity and number of casualties arriving at the facility
During a mass casualty event, the nurse working on a medical-surgical unit can anticipate being assigned the task of determining the acuity and number of casualties arriving at the healthcare facility. This involves assessing the severity of injuries and prioritizing care based on the level of urgency. The nurse will be responsible for triaging and assigning appropriate resources to each patient based on their condition.
Provide informational updates to members of the media. In (option A) is incorrect. While communication and coordination with the media may be necessary during a mass casualty event, this is typically handled by designated spokespersons or hospital administration. Nurses are primarily focused on providing direct patient care and managing the influx of patients.
Assist in discharging stable clients to home in (option C) is incorrect. During a mass casualty event, the focus is on providing care to the injured and managing the influx of casualties. Discharging stable clients to home would not be a priority task during such an event.
Delegate tasks to emergency healthcare specialists in (option D) is incorrect. Nurses may collaborate with emergency healthcare specialists during a mass casualty event, but they usually take on leadership roles in coordinating and providing direct care. Nurses are responsible for assigning tasks and coordinating the efforts of the healthcare team, including specialists, to ensure effective care delivery.
Correct Answer is A
Explanation
Colostrum provides many important antibodies that the newborn lacks.
Colostrum is the thick, yellowish fluid produced by the breasts during the early days after giving birth. It is rich in antibodies, immune factors, and other beneficial components that provide important protection and support for the newborn's health. Colostrum is often referred to as "liquid gold" due to its valuable properties. Antibodies present in colostrum help to strengthen the newborn's immune system and provide protection against various infections and diseases.
These antibodies are especially important during the first few days of life when the newborn's own immune system is still developing.
Option B is incorrect because colostrum does not contain a significant amount of iron. Iron is generally obtained from other sources, such as breast milk or iron-fortified formula, to support the newborn's brain development.
Option C is incorrect because although colostrum contains various essential nutrients, it does not provide a significant amount of vitamin K. Vitamin K is typically given to newborns as a separate supplement to prevent vitamin K deficiency bleeding.
Option D is incorrect because colostrum does not act as a diuretic. Its primary role is to provide the newborn with essential nutrients, antibodies, and immune factors to support their overall health and development.
In summary, colostrum is important for the newborn because it provides valuable antibodies that the newborn lacks, helping to strengthen their immune system and protect against infections and diseases.
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