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    Ati Lpn Comprehensive Predictor 2023 Proctored Exam
    Select All That Apply

    The nurse is continuing to assist in the care of the client. Which of the following actions should the nurse take? Select all that apply.

    Explanation & Rationale

    A. Provide the client with information about what to expect during their care. Reorient the client often: Frequent reorientation and explaining procedures help reduce confusion and anxiety, which are common in older adults experiencing delirium, especially postoperatively. B. Ask the client's partner to stay with the client as much as possible: Familiar presence provides comfort, reassurance, and a sense of safety, which can help reduce agitation and disorientation in clients with delirium. C. Maintain a well-lit environment: Proper lighting reduces visual misperceptions and illusions that may contribute to the client’s hallucinations or confusion. Maintaining adequate lighting is a nonpharmacologic intervention for delirium. D. Request that the client have the same caregivers with every shift: Continuity of care minimizes the number of new faces the client must process, which helps reduce confusion and builds a sense of safety. E. Request that the client's family bring the client's eyeglasses from home: Corrective lenses help reduce sensory deprivation, which can worsen confusion and delirium. Having the client’s glasses improves orientation and ability to recognize their surroundings. F. Acknowledge the client's feelings: Validating the client’s emotions, such as fear from hallucinations, supports therapeutic communication, reduces agitation, and promotes trust between the client and caregiver. G. Write the full date on the client's whiteboard: Displaying the date and other orientation cues helps the client remain aware of time, reducing confusion and supporting reorientation during delirium episodes.

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