In addition to a change in medication regimen, what other factors might contribute to delirium in the older adult? Select all that apply
a. Intracranial hemorrhage d. Cranial lesions
b. CNS damage e. Metabolic abnormalities
c. Infection f. Leakage of spinal fluid
B, C, D, E
CNS damage, infection, cranial lesions, metabolic abnormalities, and a change in medications may all contribute to signs of delirium in the older adult.
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A novice nurse is talking to the nurse mentor regarding the benefits of joining a professional organization. Which is the greatest benefit from becoming involved in a professional organization?
A) Establish networking to provide better client care. B) Learn about new nursing products on the market. C) Gain an appreciation of the history of nursing. D) Increase knowledge of hospital policy.
What is true concerning passive-acquired immunity?
a. Antibodies are acquired from outside the host and instilled in the host. b. Antibodies are manufactured in response to a disease in the host. c. Antibodies are innately acquired because of being born a human being. d. Antibodies are cell mediated inside the host.
A patient has been admitted to the neurologic ICU with a diagnosis of a brain tumor. The patient is scheduled to have a tumor resection/removal in the morning. Which of the following assessment parameters should the nurse include in the initial assessment
A) Gag reflex B) Deep tendon reflexes C) Abdominal girth D) Hearing acuity
Unlicensed assistive personnel are assigned the task of feeding breakfast to older clients with alterations in mobility and orientation. What instruction should the nurse include in this delegation?
1. Breakfast should be completed quickly so that baths may begin. 2. Give fluids before and after each bite of solid foods. 3. Stand to the left of right-handed clients during feeding. 4. Engage the client in conversation during the meal.