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?

Remind the client of the day and time often.

Offer the client several choices at mealtimes.

Avoid discussing the client's fears.

Alternate daily caregivers.

Answer and Explanation

The Correct Answer is A

A. Correct.

Option A, reminding the client of the day and time often, aligns with this goal. Orienting the individual to time and place can help reduce confusion and disorientation commonly associated with delirium.
B. Incorrect. Offering the client several choices at mealtimes, might not directly address the issue of orientation and may potentially overwhelm the individual, exacerbating their confusion.

C. Incorrect. Discussing the client's fears and addressing their concerns is important for providing appropriate care and support.
D. Incorrect. Alternating daily caregivers may increase confusion for the client experiencing delirium. Consistency in care providers can be beneficial.

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Correct Answer is C

Explanation

A. Incorrect. Hindu traditions often involve cremation rather than burial.
B. Incorrect. While it's important to respect the cultural and religious beliefs of the client's family, the prohibition of touching the body is not a common practice in Hinduism.
C. Correct. Cremation is a common practice in Hinduism. The body is often cremated within a relatively short period after death.
D. Incorrect. While staying with the body for a period of time is a practice in some cultures, it is not specific to Hinduism.

A. "I will wipe away yellow crusts that form around the incision." B. "I will apply pressure with gauze if I see bleeding." C. "I will make sure that my baby's diaper is applied snugly." D. "I will apply antibiotic ointment to my baby's penis."

Correct Answer is B

Explanation

A. Incorrect. Yellow crusts around the incision site are a normal part of healing after circumcision. Wiping them away can disrupt the healing process.

B. Correct. Applying pressure with gauze if bleeding occurs helps control bleeding and supports the healing process after circumcision.

C. Incorrect. A snug diaper might cause friction and discomfort for the healing circumcision site.

Diapers should be applied loosely to avoid rubbing against the area.

D. Incorrect. Applying antibiotic ointment is generally not recommended for circumcision care, especially after a Plausible circumcision. It can interfere with healing and increase the risk of infection.

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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?

Nursing Test Bank

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