Which of the following is a priority nursing intervention for the management of delirium?
A) Giving the client low-dose oxygenation and maintaining his or her fluid and electrolyte balance
B) Reducing noise and placing familiar objects in the client's environment
C) Giving the client a clock, a watch, and calendars to provide the client with temporal orientation
D) Providing psychological support through cognitive and social stimulation
Ans: A
Priority questions address physiologic integrity. The client needs to be stabilized before the other interventions can be implemented.
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A pediatric nurse examines a 7-year-old at a well-child visit. Based on Erikson's theory, which basic task does the nurse anticipate for this child?
A. Balance independence and self-sufficiency against uncertainty and misgiving. B. Develop a sense of confidence through mastery of different tasks. C. Develop resourcefulness to achieve and learn new things without self-reproach. D. Recognize there are people in his or her life who can be trusted to take care of basic needs.
A nurse reads on a patient's chart that she has sarcopenia. What assessment does the nurse perform to confirm this?
a. Mini-mental state exam b. Tests of muscle strength c. Gait and balance d. Vision and hearing
Which of the following best describes what proportion of children live in a single-parent family?
a. Fewer than 10% b. 11%-15% c. 16%-20% d. 21%-26% e. More than 30%
A 58-year-old client has scheduled a sick visit to the physician's office, stating symptoms of lower back pain with exacerbation upon movement
The nurse draws a picture of the components of the spinal cord and surrounding structures and identified potential causes of the pain. Which area of the drawing would the nurse emphasize? A) Spinal cord pathway B) Nucleus pulposus C) Bony vertebrae D) Associated musculature