The most common contributing factor to the development of delirium in critically ill patients is
a. sensory overload. c. electrolyte disturbances.
b. hypoxemia. d. sleep deprivation.
D
Delirium is frequently associated with critical illness. Provision of adequate sleep and early mobilization are recommended to reduce the incidence of delirium.
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A nurse is providing education to a group of young mothers. The nurse would explain that as children grow, they develop immunity through:
1. Immunization or exposure to the natural disease. 2. Acquiring diseases from family members who had the disease. 3. Acquiring diseases from other children. 4. Being born with diseases already in their systems.
A patient with Parkinson's disease who has been responding well to drug treatment suddenly develops a relapse of symptoms. Which explanation by the nurse is most appropriate?
a. "You have apparently developed resistance to your current medication and will have to change to another drug." b. "This is an atypical response. Unfortunately, there are no other options for drug therapy to treat your disease." c. "This is called the ‘on-off' phenomenon. Avoiding high-protein meals may help." d. "You should keep taking your medication at the current dose. These effects will go away with time."
The physician has ordered continuous pulse oximetry. The nurse explains to the patient that the procedure:
1. involves a single prick. 2. measures the amount of oxygen in the blood. 3. is applied to the wrist. 4. identifies damaged cells in the myocardium.
The nurse has completed nasopharyngeal suctioning of a client. What should the nurse document about this procedure?
1. Amount, consistency, color, and odor of sputum 2. Amount of sterile solution used to flush the catheter 3. Lung sounds before the procedure 4. Lung sounds after the procedure 5. Oxygen saturation after the procedure