An older client is being evaluated for delirium. Of the following, which is not a manifestation typically used to make a diagnosis of this disorder?
1. Unable to physically swallow when asked to
2. Unable to remember who visited earlier in the day
3. Unable to sleep at night, but able to sleep through the day
4. Unable to maintain attention
1. Unable to physically swallow when asked to
Explanation: 1. Delirium is a disturbance in mental abilities. The physical ability of swallowing is not affected by delirium.
2. Short-term memory impairment such as being unable to remember who visited earlier in the day is a symptom of delirium.
3. Sleep-wake cycle disturbance, such as being able to sleep through the day but not at night, is a symptom of delirium.
4. Not being able to maintain attention is an impairment that is a symptom of delirium.
You might also like to view...
Which mental illness should a nurse identify as being associated with a decrease in prolactin hormone level?
1. Major depressive episode2. Schizophrenia 3. Anorexia nervosa4. Alzheimer's disease
A patient with type 2 diabetes mellitus has been instructed on an eating plan where 65% of all daily calories are to be carbohydrates
The patient's daily caloric intake is to be 1600 calories. If each serving of carbohydrates is 15 grams and each gram is 4 kilocalories, how many servings of carbohydrates should the patient be instructed to consume each day? Record your answer rounding to the nearest whole number.
A healthcare professional assesses that a child’s capillary refill time is 4 sec. What does the healthcare professional evaluate that finding to mean?
a. The child is in shock. b. The child must have septic shock. c. The child has compensated shock. d. This finding is normal.
If the patient is unable to lift his hips to receive the bedpan, you should
A. lift him by placing your hands at his waist and below the buttocks, then quickly inserting the bedpan. B. elevate the patient's buttocks by placing your hands behind his knees and lifting upward. C. roll the patient on his side, place the pan, then return the patient to his back. D. elevate the head of the bed to make it easier to lift his hips.