Which characteristic of delirium helps to distinguish delirium from dementia?
a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions
ANS: A
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The nurse is evaluating a patient's laboratory results. Based upon the laboratory findings, what results will cause the release of an antidiuretic hormone (ADH)?
A) Increased serum sodium B) Decreased serum sodium C) Decrease in serum osmolality D) Decrease in thirst
The nurse reassures the patient that the method used to determine the size of the true pelvis for over 20 years with no detrimental effects to the fetus is:
a. pelvimetry. b. palpation. c. ultrasonography. d. x-ray.
A nurse's neighbor says, "There's a goopy fluid draining from my right ear. What do you think I should do?" Select the nurse's best response
a. "It sounds like you might have otitis media. Warm compresses applied to the external ear will help your problem." b. "If you are not experiencing pain in your ear, you can expect the symptoms to stop without any treatment in about 3 days." c. "Irrigate your right ear with a solution of half hydrogen peroxide and half warm water for relief from this problem." d. "The fluid could be caused by several different ear problems. You should see your health care provider as soon as possible."
The client has been admitted to the hospital with aspiration pneumonia after a traumatic brain injury produced an impaired ability to swallow. Which of the following activities is least important to be performed for this client?
1. Nutrition screening activities 2. Nutrition history 3. Head-to-toe physical assessment 4. Laboratory-based diagnostic testing