Question

A 79-year-old diabetic male is admitted to the intensive care unit for uncontrolled blood glucose levels and delirium. The nurse notes in the physical assessment that the patient has increased pallor in his lower extremities and necrotic ulcers on his feet. In addition to monitoring his blood glucose and mental status, which of the following is the priority nursing intervention?

Prepare a strict day-night schedule to decrease delirium.
Activate the patient’s bed alarm.
Assess peripheral circulation and pulses.
Assess respirations and breath sounds.

Hint

Accepted Answer

Assess peripheral circulation and pulses.

Answer

Activate the patient’s bed alarm.

Answer

Assess respirations and breath sounds.

Answer

Prepare a strict day-night schedule to decrease delirium.

Question 1 - Cardiovascular Practice Test for the CCRN