Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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The nurse is planning care for an eighty-two-year old confused client with a nursing diagnosis of altered mental status. Which of the following interventions should the nurse include in her plan of care?
  1. Keep the client’s room well-lit at all times
  2. Place a bedside commode device adjacent to the side of the bed
  3. Reorient the client frequently
  4. Leave the television on at all times
Explanation
Answer: C - A confused elderly client must be frequently reoriented, focusing more on general issues or information, such as the current month, year, and city. Keeping the client’s room lighted at all times can have a negative effect on the normal circadian rhythm. A bedside commode ensures safety, but it does not address the nursing diagnosis. Leaving the television on can leave the client more confused, as television programs might be perceived as real.
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