The Nurse Is Caring for a Patient Who Is Recovering

question 14

Multiple Choice

The nurse is caring for a patient who is recovering from a traumatic brain injury and frequently becomes disoriented to everything except her location.Which nursing intervention would be effective in orienting a patient with neurological deficit?

• A) Assessing the patient's level of consciousness and documenting every 4 hours
• B) Keeping a day-by-day calendar at the patient's bedside and having the patient manage it
• C) Placing a patient observer in the patient's room for safety
• D) Informing the patient that she cannot be discharged unless she is awake, alert, and oriented

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Definitions:

Intestinal Tract

The continuous tube running from the stomach to the anus, including the small and large intestines, where food digestion and absorption occur.

Antiemetic

A type of medication that is used to prevent or treat nausea and vomiting.

Nausea

A sensation of unease and discomfort in the stomach, often preceding vomiting.

Dopamine

A neurotransmitter in the brain associated with pleasure, movement, and attention regulation.