In caring for an older adult in Buck's extension traction who is disoriented, what is the best nursing action?

Placing a clock and calendar in the client's room is an effective nursing action for a disoriented older adult in Buck's extension traction. This approach addresses the cognitive needs of the patient by providing visual cues that help orient them to time and date, which can alleviate feelings of confusion and anxiety that often accompany disorientation.

For older adults, especially those in a healthcare setting, maintaining a sense of reality is crucial. The presence of a clock and calendar enables the patient to track the time of day and the current date, which can enhance their cognitive engagement and provide a sense of stability in an unfamiliar environment.

While reducing noise in the room can certainly help promote a calmer atmosphere, it doesn't directly aid the patient in orientation to time. Bright lighting can be beneficial for safety and visibility but may not specifically address disorientation. Informing family members to keep the room quiet can be helpful for creating a supportive environment, but it would be more effective in tandem with direct methods like adding a clock and calendar. Thus, providing visual tools is particularly impactful for enhancing the patient's cognitive clarity and comfort in their current state.