A middle-age patient was admitted to the trauma intensive care unit after a motor vehicle accident. The nurse notes that the patient becomes increasingly agitated when visitors stay for an extended period or after nursing interventions

The nurse identifies this as sensory overload. Which of the following would most likely help the patient? (Select all that apply.) a. Reducing the number of visitors to her room
b. Performing dressing changes with the bath
c. Providing a dedicated period of rest time each afternoon
d. Requesting that health care providers do rounds when the family is available
e. Coordination with other departments for tests and examinations


A, B, C, E
Reduce sensory overload by organizing the patient's care to control for excessive stimuli. Combining activities such as dressing changes, bathing, and vital sign assessment in one visit prevents the patient from becoming overly fatigued. Coordination with other departments will reduce the time needed for tests and examinations. The patient needs time for rest and quiet. Although it is important for health care professionals to communicate to family members, it will not likely reduce sensory overload for the patient.

Nursing

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Your patient asks you about the small, reddish purple discolorations of the skin, less than 0.5 cm in diameter. You inform the patient that this is known as which of the following?

a. ecchymoses c. purpura b. petechiae d. spider telangiectasia

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The nurse is preparing to dress an open, shallow wound with a moderate amount of drainage. Nursing care is correct if the nurse chooses which dressing material?

a. Alginate nonwoven b. Adhesive membrane c. Hydrocolloid adhesive d. Foam nonadherent pad

Nursing

You may discuss confidential patient information with

A) your supervisor. B) the patient's spouse. C) the patient's family. D) your own family.

Nursing