The nurse notes an acute change in a 38-year-old male patient's mental status. The patient has gone from being coherent and oriented to person, place, and time to having very disorganized thought processes. He has become delirious
What are the possible effects of delirium on the patient?
A) Visual hallucinations
B) Depression
C) Risk for injury
D) Stomach pains
C
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Your are interviewing a primipara who informs you that the first day of her last period was on March 29th. Using Naegele's rule you calculate that the client's expected date of delivery will be which of the following?
a. January 5 c. September 22 b. April 10 d. December 24
To determine a preterm infant's readiness for nipple feeding, the nurse should assess the:
a. Skin turgor. b. Bowel sounds. c. Current weight. d. Respiratory rate.
A nurse case manager compares two elderly clients: Client A is arthritic and cares for a severely disabled spouse in her home on a limited income, and Client B maintains excellent control of his congestive heart failure and diabetes and periodically
becomes engaged in stressful family events. The nurse understands which of the following? a. Client A is more likely to develop additional medical problems. b. Client B is more likely to develop additional medical problems. c. Both are at high risk to the same degree. d. Neither is likely to develop more problems.
Hypovolemic shock begins to develop when intravascular volume has decreased by what percentage?
a. 5 b. 10 c. 15 d. 20