Which of the following patients is most at risk for developing delirium?
a. 50-year-old woman with cholecystitis
b. 19-year-old man with a fractured femur
c. 42-year-old woman having an elective hysterectomy
d. 78-year-old man admitted to an intensive care unit with complications of congestive heart failure
D
Delirium is a state of temporary acute mental confusion, disorientation, and incoherence which is common in older adults. It is often caused by an interaction of the patient's underlying condition with a precipitating event. Conditions that can precipitate delirium include hospitalization (e.g., intensive care unit), change in environment, and absence of time and place cues (e.g., watch, clock). A 78-year-old man admitted to an intensive care unit with complications of congestive heart failure is most at risk for developing delirium.
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The client who experiences pain when eating fats is to undergo a fecal fat test. The nurse should instruct the client to:
1. Eat a high-fat diet for 3 days prior to the test. 2. Drink a liquid diet for 2 days prior to the test. 3. Withhold food and fluids for 12 hours prior to the test. 4. Drink barium before arriving for the test.
A nurse manager conducts rounds on the unit and discovers that expired stock medicine is still in the cabinet despite the e-mail she sent stating that it had to be discarded
The staff nurse dress code is not being adhered to, and the staff lounge is not kept neat and tidy as she requested in the same e-mail. Several staff nurses deny having received the e-mail. After evaluating this situation, one way the nurse manager could resolve the issue is to a. Include the findings on each staff member's annual evaluation. b. Close the staff lounge. c. Enforce a stricter dress code. d. Place a hard copy of announcements and unit policies in each staff member's mailbox.
Nursing interventions that foster the process of becoming a mother include which of the following?
1. Encouraging detachment from the nurse-patient relationship 2. Promoting maternal-infant attachment 3. Building awareness of and responsiveness to infant interactive capabilities 4. Instruct about promoting newborn independence 5. Preparing the woman for the maternal social role
Children who are hospitalized may view hospitalization as
A) The work of the devil B) Punishment for wrongdoing C) A lack of faith in God D) Poor parental bonding