Results of the CAM-ICU testing reveal that an older adult hospitalized in the intensive care unit has delirium. Which nursing interventions should be instituted?
1. Increase environmental stimuli in the patient's room.
2. Limit visiting hours.
3. Sedate the patient until ready for discharge from the intensive care unit.
4. Manage the patient's pain effectively.
Answer: 4
You might also like to view...
After teaching a client with bacterial cystitis who is prescribed phenazopyridine (Pyridium), the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the teaching?
a. "I will not take this drug with food or milk." b. "If I think I am pregnant, I will stop the drug." c. "An orange color in my urine should not alarm me." d. "I will drink two glasses of cranberry juice daily."
What can the nurse provide that allows the client a positive forward progression in the treatment process?
A) A therapeutic relationship B) Alternative activities to thoughts of self-injury C) A safe and trusting environment D) A sense of power and self-control
Monoamine oxidase inhibitor antidepressants are:
a. used first-line in the treatment of depression. b. reserved for patients who have not responded to SSRIs and TCAs. c. used in patients who have developed serotonergic syndrome. d. indicated for patients who have difficulty sleeping.
The nurse is assessing the patient who has been diagnosed with delirium. The patient repeatedly cries out for her husband. The first intervention by the nurse would be to:
1. administer Haldol as ordered. 2. apply restraints so that the patient will not harm herself. 3. calmly tell the patient that she is in the hospital and her husband is not there. 4. call the husband and tell him that he needs to come stay with his wife.