Question

An older patient who had surgery is displaying manifestations of delirium. What should the nurse do first to provide the best care for this new patient?

1. Check his chart for intraoperative complications.
2. Check which medications were used for anesthesia.
3. Check the effectiveness of the analgesics he has received.
4. Check his preoperative assessment for previous delirium or dementia.

Answer 1

The nurse should first check the patient's preoperative assessment for previous delirium or dementia to provide the best care for the older patient displaying manifestations of delirium.

Step-by-step explanation:

The nurse should first check the older patient's preoperative assessment for previous delirium or dementia. Delirium is a common complication after surgery in older adults, especially those with preexisting cognitive impairment. By reviewing the preoperative assessment, the nurse can gather important information about the patient's baseline cognitive function and identify any preexisting conditions that might contribute to the development of delirium.

The preoperative assessment should include a thorough evaluation of the patient's cognitive function, including memory, orientation, attention, and executive functioning. It should also document any history of delirium, dementia, or other cognitive impairments. This information will help the nurse formulate an appropriate care plan and determine the best interventions to manage the patient's delirium.

Once the nurse has reviewed the patient's preoperative assessment, they can collaborate with the healthcare team to implement appropriate interventions, such as promoting a familiar environment, maintaining a regular routine, ensuring adequate sleep and nutrition, and providing sensory stimulation. Regular monitoring and assessment of the patient's delirium symptoms are also essential to ensure ongoing care and management.