The nurse is caring for an older client who experienced a hip replacement surgery 10 hours ago. Which intervention will help minimize this client's risk of developing deliri-um?
a. Requesting that staff offer fluids each time they interact with the client.
b. Medicating the client to best facilitate restorative sleep.
c. Encouraging the client to remain still and thus minimize pain.
d. Suggesting that visitors is limited to family members only.
ANS: A
Encouraging fluid intake will help prevent dehydration, which is a major contributor to the development of delirium. Avoid use of sleeping medicationsâ€"use music, warm milk, or noncaffeinated herbal tea to alleviate discomfort and encourage sleep. Avoid excessive bed rest; institute early mobilization as appropriate. It is appropriate to have family and visitors available to the client, within reason, since doing so will help stimulate the client cognitively.
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