Clients with which of the following factors are more likely to experience acute confusion or delirium? (Select all that apply.)
A. Alcoholism
B. Chronic pain
C. Acute infection
D. Major loss
E. Multi-infarct cerebrovascular disease
F. Change in drug regimen
C, D, F
Rationale: Alcoholism and increased pain and disability more commonly lead to depression. Multi-infarct cerebrovascular disease is associated with progressive dementia. Infection and ma-jor loss are likely to cause acute confusion.
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Which of the following patients would be at highest risk for the development of deep vein thrombosis progressing to pulmonary embolus?
A) Age 45, exercises daily, underwent elective knee repair surgery, high normal platelets B) Age 85, sedentary, somewhat dehydrated, underwent repair of a pelvic fracture, high normal platelets C) Age 26, athletic, underwent repair of a football injury, normal platelets D) Age 50, on aspirin and beta blockers, underwent open heart surgery, borderline low platelets
A nurse is explaining to a cardiac patient how mechanical contraction takes place in the myocardial cells in the heart. The nurse should explain that which of the following is needed for contraction? Select all that apply
A) ATP B) Calcium C) ADP D) Phosphorus E) Iron F) Zinc
A child has developed a diaper rash, and the parents are using zinc oxide to treat it. The nurse is instructing the parents about removal of the ointment and suggests using:
a. mild soap and water. b. a cotton ball. c. mineral oil. d. alcohol swabs.
Family members are upset and frightened over a client's use of profane language and verbal abusive behavior. The nurse explains that the behavior is related to the location of the client's brain tumor in the:
A) frontal lobe. B) parietal lobe. C) occipital lobe. D) temporal lobe.