____________________ is an acute confusional state caused by reversible medical problems.
Fill in the blank(s) with the appropriate word(s).
Delirium
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While performing an assessment of a client with acute pancreatitis, the nurse notes the presence of Turner's sign. What is the interpretation of this finding?
A. The client has pancreatic enzymes leaking into the skin. B. The client is experiencing intra-abdominal bleeding. C. The client has an intestinal obstruction. D. The client has portal hypertension.
Which of the following are considerations for the older adult surgical patient? (Select all that apply.)
a. The need for specific clear preoperative and postoperative teaching b. Awareness of lower morbidity and mortality rate c. Presence of coexisting conditions d. Increased risk of respiratory complications e. Expectation of normal recovery time
The nurse is assessing the heart rate of a healthy 13-month-old child. The nurse knows to auscultate which of the following sites to obtain an accurate assessment?
A) Radial pulse B) Brachial pulse C) Apical pulse at the third or fourth intercostal space D) Apical pulse at the fourth or fifth intercostal space at the midclavicular line
Which of the following treatment measures would be given the highest priority for a child with hypovolemic shock?
1. Establishing an open airway and administering oxygen 2. Providing replacement of volume 3. Administering analgesics for control of pain 4. Assessing the cause of bleeding