Mr. Smith has been admitted to the medicine unit with signs of increased pain and a sudden onset of agitation,

Mr. Smith has been admitted to the medicine unit with signs of increased pain and a sudden onset of agitation, confusion and hallucinations. He has prostate cancer with metastases to the bone and liver. He is being treated with MS Contin 120 mg orally q12h and Morphine 20 mg orally q1h PRN. Recognizing that Mr. Smith is exhibiting signs of delirium, what would be the priority nursing action? Question 23 options: Work with the health care team and the family to determine and treat the underlying causes, maintain a quiet environment and obtain orders for antipsychotics. Obtain history from person and family, provide sedation, obtain order for steroids, and maintain a quiet environment. Ask the doctor to review and simplify medications, provide orders for sedation with benzodiazepines, and involve the family to prevent a fall. Provide explanations to the patient and family and assist the family to communicate with patient in supportive ways.

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