The nurse is caring for a client in the ICU who is experiencing shock. The nurse notes that the client appears to be confused and is not sleeping well. What should the nurse do to help this client?
1. Keep the lights on to orient the client.
2. Plan care so that there is someone in the room every hour.
3. Encourage family members to sit at the bedside and touch the client.
4. Ask the physician for sleeping pills.
Answer: 3
1. Keeping the lights on contributes to the overstimulation the client is already experiencing.
2. Care is planned to allow the client to rest without interruption.
3. Family members are encouraged to visit often and to touch the client so that part of the environment is familiar.
4. Most clients in the ICU are n.p.o., and are usually on sedatives. The lack of sleep is due more to anxiety and an unfamiliar and overstimulating environment.
You might also like to view...
A laboring client in the latent phase is experiencing uncoordinated, irregular contractions of low intensity. How should the nurse respond to complaints of constant cramping pain?
a. "You are only 2 cm dilated, so you should rest and save your energy for when the contractions get stronger." b. "You must breathe more slowly and deeply so there is greater oxygen supply for your uterus. That will decrease the pain." c. "Let me take off the monitor belts and help you get into a more comfortable posi-tion." d. "I have notified the doctor that you are having a lot of discomfort. Let me rub your back and see if that helps."
After the initiation of testosterone gel therapy, when should serum hormone levels be monitored?
a. After 24 hours b. After 1 week c. After 14 days d. After 1 month
Which of the following occurs in the male during the resolution phase of the sexual response cycle?
A) The penis becomes erect due to increased pelvic congestion of blood. B) Involuntary spasmodic contractions occur in the penis. C) The male orgasm occurs usually with ejaculation of semen from the penis. D) The male experiences a period during which he is incapable of sexual response.
A client being treated for chronic schizophrenia develops tardive dyskinesia. Which interventions will the nurse prepare to perform for this client?
Standard Text: Select all that apply. 1. Administering a prescribed lower dose of the antipsychotic medication 2. Administering a benzodiazepine as prescribed 3. Administering tapered doses of the antipsychotic medication 4. Administering a newly prescribed atypical antipsychotic medication 5. Administering a higher dose of the currently prescribed antipsychotic medication