A client is experiencing acute confusion. What nursing actions would be appropriate for this client?
1. Eliminate unnecessary noise.
2. Keep eyeglasses within reach.
3. Place a calendar in the room, and identify each day.
4. Keep the room well lit during waking hours.
5. Provide dark glasses.
ANSWER
Correct Answer: 1, 2, 3, 4
Rationale 1: Eliminating unnecessary noise would help the client who is experiencing acute confusion.
Rationale 2: Keeping eyeglasses within reach would help the client who is experiencing acute confusion.
Rationale 3: Placing a calendar in the room and identifying each day would help the client who is experiencing acute confusion.
Rationale 4: Keeping the room well lit during waking hours would help the client who is experiencing acute confusion.
Rationale 5: Providing dark glasses would help the client who is experiencing sensory overload.
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