The charge nurse on a busy high-acuity care unit is reviewing the plan of care for four patients.The nurse would evaluate that which patient is at highest risk for sensory perceptual alterations (SPAs)?

Question

Quizplus · Accepted Answer

A patient who is unresponsive after a stroke is at highest risk for sensory perceptual alterations (SPAs) as they may experience visual, auditory, olfactory, or gustatory hallucinations, altered sensation, and confusion due to the damage to the brain. The other three options do not necessarily indicate a higher risk for SPAs.

The Charge Nurse on a Busy High-Acuity Care Unit Is