The most effective intervention for clients with delirium is which of the following?
A) Giving detailed explanations
B) Managing environmental stimuli
C) Promoting rest with PRN medications
D) Providing activities for distraction
B
Feedback: Clients with delirium become overstimulated easily; their ability to process environmental stimuli is impaired.
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To decrease sympathetic stimulation in balanced anesthesia type of what agent would be used?
A) Antihistamines B) Antiemetics C) Narcotics D) Sedative-hypnotics
When a nurse asks a client to focus on an object in the distance and then move her gaze to a nearby object, what process is the nurse assessing?
a. accommodation c. pupil shape test b. direct light reflex d. pupil size test
A bowel resection is scheduled for a client with the diagnosis of colon cancer with metastasis to the liver and bone. Which statement by the nurse best explains the purpose of the surgery?
A) "Removing the tumor is a primary treatment for colon cancer." B) "This surgery will prevent further tumor growth." C) "Once the tumor is removed, cell pathology can be determined." D) "Tumor removal will promote comfort."
A patient who has type 2 diabetes is scheduled
for an oral endoscopy and has been NPO (nothing by mouth) since midnight. What is the best action by the nurse regarding the administration of her oral antidiabetic drugs? a. Administer half the original dose. b. Withhold all medications as ordered. c. Contact the prescriber for further orders. d. Give the medication with a sip of water.