Question

A cycling accident has resulted in a head injury to a male patient and he has been admitted to the intensive care unit for the treatment of increased intra-cranial pressure. Consequentially, he has been placed in a private room with low light and his care has been organized to minimize disturbances. What nursing diagnoses is this patient at risk of?

A: Disturbed sensory perception; sensory deprivation
B: acute confusion
C: disruptive sensory perception: sensory overload
D: chronic confusion

Answer 1

The patient is at risk of disturbed sensory perception and disruptive sensory perception due to low light and minimized disturbances in the private room.

Step-by-step explanation:

The nursing diagnoses that this patient is at risk of are:

A: Disturbed sensory perception; sensory deprivation
C: Disruptive sensory perception: sensory overload

Due to the low light and minimized disturbances in the private room, the patient may experience a decrease in sensory input, leading to sensory deprivation. On the other hand, if the patient is exposed to excessive stimuli, it can result in sensory overload, causing disruptive sensory perception. Both of these nursing diagnoses are relevant to the patient's condition and should be taken into consideration in the care plan.