The older adult with delirium would present with which of the following behaviors?
A. Fatigue, apathy, and occasional agitation
B. Agitation, apathy, and wandering behavior
C. Agitation and restlessness
D. Slowness and absence of purpose
Answer: C. Agitation and restlessness
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Care providers' expectations have an impact on clients' behaviors. Caregivers communicate what is expected; clients commonly
1. ignore the expectations. 2. behave in the opposite way. 3. consider the expectations. 4. live up to the expectations.
The wife of an alcoholic tells the nurse, "My husband only drinks on the weekends to relax. He has a very stressful job." The nurse recognizes the defense mechanism of:
a. repression. b. denial. c. rationalization. d. identification.
The client is receiving phenobarbital (Luminal) for control of seizures. The client tells the nurse she plans to become pregnant. What is the best response of the nurse?
1. "Your medication dose will need to be increased during your pregnancy.". 2. "Please talk to your doctor; this drug is contraindicated in pregnancy.". 3. "Your medication dose will need to be decreased during your pregnancy.". 4. "Please talk to your doctor; you will need a safer drug like valproic acid (Depakene).".
An adolescent boy is brought to the emergency department after a motorcycle accident. His respirations are deep, periodic, and gasping. There are extreme fluctuations in blood pressure. Pupils are dilated and fixed
What type of head injury should the nurse suspect? a. Brainstem c. Subdural hemorrhage b. Skull fracture d. Epidural hemorrhage