The elderly client in the intensive care unit who is diagnosed as having disturbed sensory
perceptions in the form of visual and auditory illusions will be helped most by
a. large clocks and calendars on the wall.
b. personally meaningful objects placed in full view.
c. wearing her glasses and hearing aids.
d. keeping the room brightly lit around the clock.
C
Illusions are sensory misperceptions. Glasses and hearing aids help clarify sensory perceptions.
Options A and B: Without glasses, clocks, calendars, and personal objects may not be noticed.
Option D: Round-the-clock lighting promotes sensory overload and sensory perceptual alterations.
You might also like to view...
The nurse clarifies to a new client in a rehabilitation center that "rehabilitation" means that the client will:
1. return to his previous level of functioning. 2. be counseled into a new career. 3. develop better coping skills to accept his disability. 4. attain the greatest degree of independence possible.
The nurse caring for a patient with AIDS who is taking cidofovir (Vistide) for a cytomegalovirus retinitis will modify the care plan to include:
a. provision of cool baths to reduce skin ir-ritation. b. provision of milk-based drinks to reduce gastritis. c. teaching direction in the use of an incen-tive spirometer to reduce pleural effusion. d. increasing fluid intake to reduce possible nephrotoxicity.
The nurse assesses a client who has received thrombolytic therapy after having a myocardial infarction. Which clinical manifestation indicates to the nurse that reperfusion has been success-ful?
a. ST-segment depression b. Cessation of diaphoresis c. Sudden onset of pleuritic chest pain d. Onset of ventricular dysrhythmias
A nurse instructs a class of older adult women about Kegel exercises. In which of the following urinary conditions would Kegel exercises be effective? (Select all that apply.)
A) Functional incontinence B) Pelvic organ prolapse C) Stress incontinence D) Urge incontinence E) Urinary retention