An important facet of nursing care for a client with delirium who has fluctuating levels of
consciousness, disturbed orientation, and perceptual alterations is
a. avoidance of physical contact.
b. application of wrist and ankle restraints.
c. careful observation and supervision.
d. a high level of sensory stimulation.
C
Careful observation and supervision are of ultimate importance because an appropriate outcome
would be that the client will remain safe and free from injury while hospitalized. Option A: Physical
contact during caregiving cannot be avoided. Option B: Restraint is a last resort. Option D: Sensory
stimulation should be reduced.
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A patient with a seizure disorder is presenting having a generalized seizure. An appropriate nursing intervention during the seizure would include what?
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A woman is currently pregnant; she has a 5-year-old son and a 3-year-old daughter. She had one other pregnancy that terminated at 8 weeks. Her gravida and para are
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