The nurse working in a long-term care facility completes her morning assessment on a new postoperative patient and notes a change in cognitive status from the previous day? The nurse recognizes which of the following as a precipitating factor for
delirium? (Select all that apply.) a. Major medical treatment c. Admission to long-term care
b. Poor sleep habits d. Pharmacological agents
A, C, D
Major medical treatment, admission to long-term care, and pharmacological agents are all preci-pitating factors for delirium. Changes in surroundings often precipitate delirium. The develop-ment of delirium is a result of complex interactions among multiple causes. Delirium can result from the interaction of predisposing factors—vulnerability on the part of the individual as a re-sult of predisposing conditions, such as cognitive impairment, severe illness, and sensory im-pairment; delirium can also result from precipitating factors and insults—medications, procedures, restraints, and iatrogenic events. Although a single factor (e.g., infection) can trigger an episode of delirium, several co-existing factors are also likely to be present. A highly vulnerable older individual requires a lesser amount of precipitating factors to develop delirium. Poor sleep habits is not a contributing factor in of itself.
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While observing an admission interview, the nursing student recognizes open-ended questions as starting with: Standard Text: Select all that apply
1. "How". 2. "What". 3. "Do you". 4. "Did that". 5. "Would you".
In planning care for a child diagnosed with autistic spectrum disorder, which would be a realistic client outcome?
1. The client will communicate all needs verbally by discharge. 2. The client will participate with peers in a team sport by day four. 3. The client will establish trust with at least one caregiver by day five. 4. The client will perform most self-care tasks independently.
Which of the following statements is true of opioid drug administration and disposition?
A. Opioids are not administered on a repeated schedule. B. Oral preparations of opioids are primarily used for surgery and postsurgical recovery. C. Opioids are available for oral and parenteral administration. D. Oral preparations of opioids should be chewed, never swallowed.
A client is being discharged home from an acute care facility following a total hip replacement. She will require follow up for health care, and also exercise. In addition to a home health nurse, what other service will this client require?
a. Dietitian b. Social worker c. Physiotherapist d. Respiratory therapist