The nurse is working in a clinic and sees a resident of a long-term-care facility, age 82 years, who has come in to be checked by her physician.
The caregiver accompanying her reports that the client has been displaying the following: drowsiness, excessive sleeping, decreased attention span, irritability, and signs of depression.
The client's daughter and family, who usually visit her, moved away from the area 6 weeks ago due to the husband's job.
The nurse suspects which problem?

Choice A rationale

Playing music chosen by the client can promote relaxation by providing a familiar and comforting auditory stimulus. Music can help to reduce anxiety and create a calming environment, thus minimizing sensory overload in a client recovering from a stroke in the intensive care unit. This personalized approach respects the client's preferences and can positively influence their emotional state, fostering a more restful atmosphere conducive to healing.

Choice B rationale

Encouraging frequent visitors throughout the day can contribute to sensory overload for a client recovering from a stroke. While social support is important, excessive stimulation from multiple visitors can be overwhelming and disrupt the client's rest and recovery process in the intensive care unit, potentially increasing agitation and hindering relaxation.

Choice C rationale

Sitting in a chair next to the client and talking can be stimulating and may not promote relaxation, especially for a client who has recently experienced a stroke. Depending on the content and tone of the conversation, this interaction could increase sensory input and potentially cause agitation or fatigue rather than fostering a calm and restful environment needed for recovery in the intensive care unit.

Choice D rationale

Turning on the television to the Super Bowl would likely exacerbate sensory overload due to the bright lights, loud noises, and fast-paced visual stimulation. This type of environment is counterproductive to promoting relaxation and can be particularly overwhelming for a client recovering from a stroke in the intensive care unit, potentially increasing anxiety and hindering rest.

Step 1: Identify the desired dose: 165 mg.

Step 2: Identify the concentration of the medication: 105 mg in 5 mL.

Step 3: Set up a proportion to find the required volume (x mL):
105 mg / 5 mL = 165 mg / x mL

Step 4: Solve for x:
105 × x = 165 × 5

Step 5:
105x = 825

Step 6:
x = 825 ÷ 105

Step 7:
x ≈ 7.857 mL

Final Answer: The nurse should give approximately 7.9 mL.