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A Confused Patient Is Restless and Continues to Try to Remove

Question 33

Multiple Choice

A confused patient is restless and continues to try to remove his oxygen and urinary catheter.What is the priority nursing diagnosis and intervention to implement for this patient?


A) Risk for injury: Prevent harm to patient, use restraints if alternatives fail.
B) Deficient knowledge: Explain the purpose of oxygen therapy and the urinary catheter.
C) Disturbed body image: Encourage patient to express concerns about body.
D) Caregiver role strain: Identify resources to assist with care.

Correct Answer:

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