A patient admitted to the ward with the diagnosis of delirium. In the first 24 to 48 hours, what
should the nurse plan according to priority?

Correct option is A

· Orientation to person, place, and environment: The priority in managing a patient with delirium is to reorient them to their surroundings to reduce confusion, anxiety, and agitation, ensuring their safety and cooperation in care.
· To restore bladder and bowel function: While important, this is not an immediate priority in the first 24-48 hours unless there is an acute issue causing significant distress or risk.
· Correct the wake and sleep cycle: Sleep-wake cycle correction is essential in delirium but is addressed after stabilizing the patient's orientation and ensuring safety.
· To improve nutritional status: Nutritional support is necessary for long-term recovery but is not the primary focus during the acute phase of delirium management.
Difference between Delirium and Dementia:

· 4.As we can see there is marked disorientation in awareness, So the initial treatment includes orientation to person, place and environment
· Delirium is involved in confused thinking the nurse should assess the orientation of person, place and environment
· This can be done by asking questions like where are you, what is the time now, etc.
Additional Information:
· Hyper active delirium: the person will have rapid mood changes, hallucinations, agitation and restlessness
· Hypoactive delirium: inactive, reduced motor activity, abnormal drowsiness
· Mixed: will have the symptoms of both