A 68-Year-Old Patient Has Been in the Intensive Care Unit

question 2

Multiple Choice

A 68-year-old patient has been in the intensive care unit for 4 days and has a nursing diagnosis of disturbed sensory perception related to sleep deprivation.Which action should the nurse include in the plan of care?

• A) Administer prescribed sedatives or opioids at bedtime to promote sleep.
• B) Cluster nursing activities so that the patient has uninterrupted rest periods.
• C) Silence the alarms on the cardiac monitors to allow 30- to 40-minute naps.
• D) Eliminate assessments between 0100 and 0600 to allow uninterrupted sleep.

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Definitions:

Autonomy

The capacity to make an informed, uncoerced decision; in the workplace, it often refers to the level of independence and self-direction an employee has.

Participation

The act of taking part or becoming involved in activities, processes, or discussions, often contributing to a group or community effort.

Powerlessness

A state of feeling unable to control, influence, or affect outcomes; often associated with feelings of helplessness.

Iron Law

A principle stating that oligarchy is inevitable as an organizational size increases, due to the necessity of leadership hierarchy.