An older adult patient is quite ill and confused and begins to cry pitifully when a nurse approaches the bed to start an intravenous (IV) line. What is the best action for the nurse at this time?
a. Keep the infusion equipment out of sight as much as possible, talk slowly, and di-vert the attention of the patient.
b. Inform the patient that the physician has ordered the IV and calmly continue to prepare the site and start the IV.
c. Give an analgesic as ordered, wait a few minutes, and then proceed.
d. Restrain the patient's arm to a padded armboard and proceed as directed.
A
Confusion during a bout of illness in older adults is common. Distraction and reassurance usually gain compliance. Medication and restraints are not indicated.
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