The nurse is caring for a client at risk for sensory overload. What interventions should the nurse implement? Select all that apply
A) Remove clutter from the client's room.
B) Implement measures to reduce the client's pain.
C) Assist with all ADLs.
D) Limit interruptions to the client's rest/sleep times.
E) Limit extraneous noise.
Ans: A, B, D, E
Feedback:
If the client is experiencing sensory overload, interventions should focus on reducing stimulation involving information, the environment, and internal factors. Limiting extraneous noise, bright lights, room clutter, interruptions, pain, and stress reduces stimulation. Clients with sensory overload may neglect their ADLs to the point that they need assistance. Such assistance can be problematic because it can add to sensory overload. With this in mind, assist the client only with the immediately essential ADLs (moving, eating, toileting, and resting). Additional tasks may be added as the client is able to cope.
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