Which behavior exhibited by an older adult client alerts the nurse to the possibility that the client is experiencing delirium?
a. Becoming confused within 24 hours after hospital admission
b. Displaying a cheerful attitude despite a poor prognosis
c. Becoming withdrawn and sleeping most of the day
d. Beginning to use slurred speech and losing coordination
A
Delirium is characterized by acute confusion that is usually short term. Delirium can result from placement in unfamiliar surroundings, such as being hospitalized. Depression is characterized by an increase in sleep and lack of social contact. Slurred speech may indicate a stroke.
You might also like to view...
A home care nurse is teaching an older client about colostomy care. The client's wife is taking charge of the irrigations. Both are very anxious
During the procedure, the wife continually watches the nurse, asking "Is this correct?" and waits for approval before continuing. Both the client and his wife express how glad they are that the nurse is coming and that they don't know what they will do without the help. Knowing that the goal of care is to promote independence, how will the nurse address these behaviors? Standard Text: Select all that apply. 1. Remind the couple that there are only a few visits left. 2. Tell the husband he has to do the irrigation. 3. Reinforce the wife's competency and the strength of coping as a team. 4. Gradually encourage them to do the procedure on their own, while continuing to provide support. 5. Recognize this passive behavior and take a firm stand against it.
A nurse is aware that clear and accurate communication is necessary whenever clients are transferred or referred. Which of the following situations best demonstrates a referral?
A) A client is moved from a subacute hospital unit to the intensive care unit following a hypertensive crisis. B) A client is relocated from the orthopedic ward to a rehabilitation ward after recovery from a knee replacement. C) The nurse arranges for a client with a diabetic foot ulcer to see a podiatrist in community. D) The nurse gives report to the hospital's radiology department before a client is sent down for an x-ray.
A long-term care facility has experienced an outbreak of scabies among the residents. Which of the following actions are likely to control the spread of the outbreak? (Select all that apply.)
A) Antibiotic treatment for those residents who have tested positive B) An emphasis on vigilant hand hygiene C) Disinfection of mattresses and common areas D) Quarantine of the facility until the outbreak subsides E) Isolation of all the laundry in the facility
An elderly chronically confused client with Alzheimer's disease frequently states that the nursing home is her home to which she has invited people for a party. The most appropriate nursing response to this client's perception is to
a. give detailed explanations about the nursing home. b. "go along" with the client's confused statements. c. provide a lot of sensory stimulation. d. reorient the client as often as necessary.