An elderly client was admitted with pneumonia and a fever of 104.5°F. At the time of admission, he was confused, disoriented, restless, and tried to slap the nurse who started an intravenous line
His daughter stated, "Just yesterday he was perfectly fine, except for a cold. I can't believe he is acting this way now." Within a few days, his erratic behavior subsided and his daughter was relieved that he was "back to normal." The nurse recognizes that this client was exhibiting signs of:
a. Dementia.
b. Delirium.
c. Panic attack.
d. Alcohol withdrawal.
ANS: B
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A patient has come to the clinic and been diagnosed with Lyme disease. The physician has ordered oral tetracycline. What is important for the nurse to include in the teaching plan about tetracycline? (Select all that apply.)
A) Do not take the drug with anything high in sodium content to keep from producing a state of hypernatremia in the body. B) Do not take the drug with foods or other drugs that contain calcium. C) Do not take the drug at the same time you take an iron supplement or with foods that are high in iron content. D) Avoid exposure to the sun when taking this drug as it can turn your skin purple. E) Avoid eating bananas at the same time you take this drug as the potassium content of the tetracycline can produce hyperkalemia in the body.
The nurse planning a teaching program for a client about postoperative care after a thoracotomy approach to an esophagomyotomy would include information about
a. application of a Hemovac. b. drainage from a T tube. c. insertion of a Blakemore tube. d. presence of closed-chest drainage.
A psychiatric aide says, "I don't know why that patient does all that silly giggling and posturing. It's senseless!" The best reply to this comment would address the psychiatric nursing principle that states:
a. every individual has the potential to change. b. illness can be a growth-producing experience for the individual. c. all behavior is meaningful, arising from personal needs and goals. d. everyone has the right to self-determination that includes the pursuit of health.
The process of integrating past experiences in an attempt to find meaning in life is known as
a. Continuity b. Generatively c. Life review d. Maturity