An 85-year-old man is admitted to the hospital with gastroenteritis and dehydration. He receives a dose of meclizine hydrochloride, an anticholinergic, for vomiting. He begins to hallucinate and talk to his wife, who has been dead for 10 years
Which explanation best describes this behavior?
a. Dementia related to advanced age
b. Delirium related to dehydration
c. Dementia related to early Alzheimer's disease (AD)
d. Delirium related to side effect of anticho-linergic
D
Anticholinergic drugs can cause sudden confusion in older adults. There is nothing in the history that suggests that the behavior would be related to AD or any other dementia as dementias progress slowly. Dehydration would increase the effect of the anticholinergic.
You might also like to view...
In order to be therapeutic when communicating with a client living in a homeless shelter, it is important to apply which techniques? (Select all that apply.)
a. Show acceptance and respect. b. Avoid clarifying terms. c. Use medical terminology to avoid talking down. d. Consider the client's environment. e. Assess client's pattern of verbal and nonverbal communication.
A nurse working with a severely depressed client who displays withdrawn behavior and marked
psychomotor retardation is at risk for feelings of a. overinvolvement. b. guilt and despair. c. interest and pleasure. d. incompetence and frustration.
A staff member came to the in-service session upset because it was her day off. She was wearing tight, revealing clothes. The nurse manager realized that the staff nurse was demonstrating what reaction to the conflict?
a. Sublimation b. Attention getting c. Identification d. Rationalization
The patient is reporting moderate incisional pain that was not relieved by the last dose of pain medication. The patient is not due for another dose of medication for another 2 1/2 hours
The nurse repositions the patient, asks what type of music the patient likes, and sets the television to the channel playing that type of music. Which health care model is the nurse using? a. Health belief model b. Holistic health model c. Health promotion model d. Maslow's hierarchy of needs