Which statement about delirium is correct?
a. Onset is gradual.
b. It occurs only in the older adult popula-tion.
c. It is an emergency.
d. The cause is usually not known.
C
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Mrs. Dawn comes to the health office at the assisted living facility. She is complaining of a strange new rash. She presents with a bright purple lesion on the left arm with clear borders. You
a. Set up an appointment with the dermatologist b. Question her regarding recent falls c. Explain the normal skin changes that include senile purpura d. Question her regarding new medications or foods
The Centers for Disease Control and Prevention (CDC) has issued new guidelines for infection control. Nursing care plans for patients with infection should mainly address which protocol?
a. Disease-specific precautions b. Manner in which clean gloves are worn c. Standard Precautions guidelines d. Placement of needles and sharps
A client with acute renal failure has been prescribed a fluid restriction. The client asks how much fluid will be permitted each day. What is the nurse's best response?
A. "Each health care provider decides this individually, based on the amount of permanent damage to your kidneys." B. "You will be permitted to drink an amount equal to the urine you excrete, plus 500 mL." C. "The amount of fluid you can drink is dependent on how much protein you eat each day." D. "You will be permitted to drink approximately 2 L of fluid each day."
While working with a certified nursing assistant (CNA) in a local nursing home, the nurse knows that which of the following fall risk and prevention measures may be delegated to the CNA? Select all that apply
a. Remove clutter and spills in patient rooms. b. Place nonskid slippers on all patients. c. Answer call lights in a timely manner. d. Assess each patient for fall risk.