Certified Post Anesthesia Nurse (CPAN) Practice Exam

Managing a patient exhibiting emergence delirium primarily involves creating a supportive and safe environment. Reassuring the patient is crucial, as emergence delirium can be distressing and frightening for the individual. By providing comfort and explaining the situation, the nurse helps alleviate confusion and fear, which can significantly reduce the intensity of the symptoms.

Maintaining a calm environment is also essential, as high-stimulation settings can exacerbate feelings of disorientation and anxiety. This includes minimizing loud noises, bright lights, and the presence of many people, which can further unsettle the patient. Ensuring safety is a fundamental aspect of care during this phase to prevent any harm to the patient or staff. This may involve having a nurse present to monitor the patient closely and to intervene if the patient becomes agitated or attempts to engage in dangerous behaviors.

Although other approaches, like administering calming medication, may be considered in certain situations, they are not the first-line response and are typically reserved for cases where non-pharmacological strategies fail. Direct restraint can lead to further agitation or trauma and is generally avoided. Ignoring the symptoms does not address the patient's needs and may lead to worsening of the delirium and increased distress. Therefore, the most effective management of emergence delirium focuses on reassurance