A patient in a nursing home is confused,nonverbal,but pleasant.The nurse notes the patient has suddenly become agitated and is screaming and scratching at the eyes.While the nurse is examining the patient,the patient vomits.What action by the nurse is best?
A)Consult the provider about an ophthalmologic exam.
B)Sedate the patient so she won't injure herself.
C)Place mitts on the patient's hands to avoid scratches.
D)Give the patient a prn medication for pain.

Question

Quizplus · Accepted Answer

The sudden onset of agitation and eye scratching could indicate a medical issue with the patient's eyes. Consulting a provider about an ophthalmologic exam would be the best course of action to assess and address any potential issues. Sedating the patient or using mitts could be necessary in some cases but should not be the first choice without first assessing the underlying cause of the behavior. Giving a PRN medication for pain would not be appropriate given the symptoms described.

A Patient in a Nursing Home Is Confused,nonverbal,but Pleasant