Which change in mental status is consistently seen in delirious individuals?
a. clouding of consciousness
b. impaired long-term memory
c. apraxia
d. disorientation to self
A
A clouding of consciousness is consistently present in clients suffering from delirium. This can cause the client's alertness to fluctuate between lethargy and agitation all within 24 hours. Clients suffering from delirium commonly experience visual hallucinations, which may be mistaken for psychosis.
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During an assessment of the feet, the nurse asks the patient to sit, feet dangling, and point the toes toward the nose. The nurse is assessing which movement?
1. Plantar flexion 2. Dorsiflexion 3. Eversion 4. Inversion
When documenting a client's axillary temperature on the graphic sheet, how should the nurse identify the method of assessing the temperature?
1. AX. 2. O. 3. R. 4. SL.
The nurse is conferring with the nutritionist about the needs of a First Nations client. Which of the following does the nurse anticipate about this client's diet?
a. The client will follow a strict vegetarian diet. b. The client will avoid the use of alcohol and tobacco. c. The client will avoid pork products. d. The client will follow a diet according to the individual nation's beliefs.
An appropriate technique for the nurse to implement to obtain an arterial blood gas specimen is to:
A. Insert the needle at a 45-degree angle B. Use a 19-gauge, 1-inch needle C. Leave 0.5 ml of heparin in the syringe D. Aspirate the blood after the puncture