An older adult is exhibiting signs and symptoms of delirium. Which of the following behaviors would the nurse expect to assess in the client diagnosed with delirium?
A) Confabulation
B) Gait disturbances
C) Decreased level of consciousness with impaired thinking
D) Visual hallucinations of colors
C
You might also like to view...
Which of the following actions has been most effective in reducing HIV infections in some countries?
a. ABC campaign b. Free HIV immunizations c. Religious leaders stressing abstinence or faithfulness in monogamous marriages d. Public health workers distributing free condoms
The client has supplemental oxygen in place and requires suctioning to remove excess secretions from the airway. To promote maximum oxygenation, an appropriate action by the nurse is to:
1. Suction continuously for 30-second intervals 2. Replace the oxygen and allow rest in between suctioning passes 3. Increase the amount of suction pressure to 200 mm Hg 4. Complete a number of suctioning passes until the catheter comes back clear
The nurse is caring for a client taking lisinopril. The nurse knows that this medication works by doing which of the following? Select all that apply.
a. Decreasing preload b. Decreasing afterload c. Increasing preload d. Increasing afterload e. Increasing contractility
Which patient statement reflects a spiritual belief that defines ILLNESS?
1. "I am being punished for breaking a religious code." 2. "It is a necessary part of my religious culture." 3. "I failed to wear special amulets to ward it off." 4. "I am sick because I violated dietary practices."