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?
Activate the patient’s bed alarm.
Assess respirations and breath sounds.
Assess peripheral circulation and pulses.
Prepare a strict day-night schedule to decrease delirium.
Be sure to consider describing words like first, next, before, and after in questions. In this question, the word priority has the same effect. They indicate that there is one particular correct answer, even if the other answer choices may be related to the question.
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