From the use of the CAM-ICU assessment tool, a patient is found to have hypoactive delirium. Which of the following can the nurse do to help this patient?
1. restrict visitors
2. use morphine for pain
3. use wrist restraints to maintain monitoring devices and lines
4. provide reassurance and orient to the environment
4
Rationale: Since the patient was found to have hypoactive delirium through the use of a valid assessment tool, other interventions that may help to prevent and treat delirium include providing reassurance and reorientation, assessing for and treating pain, encouraging family/significant other visitation, and avoiding physical restraints. The nurse should provide reassurance and orient the patient to the environment. Morphine has been linked to an increase in delirium and should be avoided if it is suspected as being the cause for the patient's delirium.
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