Which statement about confusion is true?
a. Confusion is a disease process.
b. Confusion is always temporary.
c. Age is a reliable predictor of confusion.
d. Polypharmacy is a major contributor in older adults.
D
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A client has pre-eclampsia. She is 36 weeks pregnant, and comes to the high-risk screening center for a contraction stress test. The nurse should explain to the client that the contraction stress test is being done to determine:
1. What effect her hypertension has had on the fetus. 2. If the fetus will be able to tolerate labor. 3. If fetal movement increases with contractions. 4. What effect contractions will have on her blood pressure.
A patient who was found in the snow with impaired consciousness, no shivering, and a body temperature of 28°C is being transported by life flight helicopter to a hospital with rewarming resources. The patient warms to 30°C en route to the hospital, and the nurse cautions the team to move the patient gently, explaining that at this body temperature:
A) the bones are brittle and can fracture easily. B) the skin is fragile and tears easily. C) the heart is irritable and susceptible to ventricular fibrillation. D) the muscles become rigid and can cause fractures and joint injury.
When teaching a client about guaifenesin use, the nurse should instruct the client to:
a. increase intake of iron. c. decrease intake of protein. b. increase intake of salt. d. increase intake of fluids.
A burn victim of a house fire is brought to the emergency department. The burn is classified as dermal. The nurse knows that the structures destroyed by the burn are what? (Select all that apply.)
A) Lymphatic vessels B) Connective tissue C) Vernix D) Blood vessels E) Sweat glands