To protect a patient from injury during an episode of delirium, the most appropriate action by the nurse is to

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Quizplus · Accepted Answer

The priority goal is to protect the patient from harm, and a staff member will be most experienced in providing safe care. Visits by family members are helpful in reorienting the patient, but families should not be responsible for protecting patients from injury. Antipsychotic medications may be ordered, but only if other measures are not effective because these medications have multiple side effects. Restraints are sometimes used but tend to increase agitation and disorientation.

To Protect a Patient from Injury During an Episode of Delirium