The nurse is caring for an 88-year-old patient who is recovering from an ileac-femoral bypass graft. The patient is day 2 postoperative and has been mentally intact, as per baseline

When the nurse assesses the patient, it is clear that he is confused and has been experiencing disturbed sleep patterns and impaired psychomotor skills. What should the nurse suspect is the problem with the patient?
A) Postoperative delirium
B) Postoperative dementia
C) Senile dementia
D) Senile confusion


Ans: A
Feedback:
Postoperative delirium, characterized by confusion, perceptual and cognitive deficits, altered attention levels, disturbed sleep patterns, and impaired psychomotor skills, is a significant problem for older adults. Dementia does not have a sudden onset. Senile confusion is not a recognized health problem.

Nursing

You might also like to view...

A nurse caring for an older client on a medical-surgical unit notices the client reports frequent constipation and only wants to eat softer foods such as rice, bread, and puddings. What assessment should the nurse perform first?

a. Auscultate bowel sounds. b. Check skin turgor. c. Perform an oral assessment. d. Weigh the client.

Nursing

A middle-aged athlete was diagnosed with a hydrocele several months ago but now requires treatment because of the increasing size of the mass. The nurse who is working with this patient should anticipate what aspect of care?

A) Administering IV antibiotics B) Assessing the patient's scrotal incision C) Administering chemotherapy D) Teaching the patient to use a leg collection bag for urine output

Nursing

The nurse recognizes that the individual at highest risk for development of gallstones is

a. a 20-year-old black man with sickle cell disease. b. a 35-year-old white woman being treated for breast cancer. c. a 49-year-old white man with a sedentary lifestyle. d. a 60-year-old white woman being treated for obesity.

Nursing

As a result of a client's extreme anxiety and concern about delusional and hallucinatory phenomena, the nurse plans care because the client is at risk for which of the following? (Select all that apply.)

1. High nighttime levels of melatonin 2. Circadian cycle disruption 3. REM rebound 4. Reduced REM sleep 5. Great difficulty getting to sleep

Nursing