A recently widowed 80-year-old male is dehydrated and is admitted to the hospital for intravenous fluid replacement. During the evening shift, the patient becomes acutely confused
The nurse's best action is to assess the patient for which of the following reversible causes? (Select all that apply.) a. Electrolyte imbalance
b. Hypoglycemia
c. Drug effects
d. Dementia
e. Cerebral anoxia
A, B, C, E
Delirium, or acute confusional state, is a potentially reversible cognitive impairment that is often due to a physiological event. Physiological causes of delirium can include electrolyte imbalances, cerebral anoxia, hypoglycemia, medications, drug effects, tumors, subdural hematomas, and cerebrovascular infection, infarction, or hemorrhage. Unlike delirium, dementia is a gradual, progressive, irreversible cerebral dysfunction.
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All of the following statements are true about a durable power of attorney except
a. It allows a competent person to make deci-sions for an incompetent person b. It is a legal document c. It is not enforceable in a court of law d. It allows health-care and financial decisions to be made
A nursing faculty member asks a nursing student to talk to a client about common household liquid measures. What are considered household liquid measures?
A) Drop, pint, tablespoon, teaspoon B) Liter, drop, pint, quart C) Pint, quart, tablespoon, teaspoon D) Quart, liter, teaspoon, tablespoon
Urinary creatinine values may be used to estimate:
1. Muscle protein reserves 2. Number of functioning nephrons 3. Metabolic waste products of respiration 4. The client's current phase of the stress response
The patient is admitted to the unit for a cardiac catheterization. Which of the following can be delegated to nursing assistive personnel (NAP)? (Select all that apply.)
a. Obtaining admission vital signs b. Preparing the patient's room c. Gathering and securing personal care items. d. Orienting the patient and family to the nursing unit