What is the priority nursing intervention for a patient diagnosed with delirium who has fluctuating levels of consciousness, disturbed orientation, and perceptual alterations?
A) Avoidance of physical contact
B) High level of sensory stimulation
C) Careful observation and supervision
D) Application of wrist and ankle restraints

Question

Quizplus · Accepted Answer

Careful observation and supervision are of ultimate importance because an appropriate outcome would be that the patient remains safe and free from injury. Physical contact during care cannot be avoided. Restraint is a last resort, and sensory stimulation should be reduced.

What Is the Priority Nursing Intervention for a Patient Diagnosed