A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction. The patient awakens during the night confused and disoriented. This may be in part because of
a. impaired sensation of peripheral receptors.
b. increased nerve impulse conduction resulting in increased anxiety.
c. deficiency in the temporofrontal function of the brain.
d. inevitable dementia.
C
Cognitive decline seems to be linked to temporofrontal functional deficiency expressed as deficient auditory discrimination and orienting.
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The nurse is assessing a client's spiritual and belief patterns and asks the client about participation in organized religion. The nurse is on which step of the HOPE assessment with this client?
1. H 2. O 3. P 4. E
A nurse is responsible for assessing an older adult in an acute care setting. Which of the following statements most accurately captures the complexity involved in assessing the older adult?
A) Older adults manifest fewer symptoms of illness than do younger clients. B) Signs and symptoms of illness are often obscure and less predictable among older adults. C) Care must be taken to avoid assessing normal, age-related changes. D) Older adults experience fewer acute health problems but more chronic illnesses than do younger clients.
Gauze dressings:
a. Have a non-stick surface b. Absorb drainage c. Allow observations of the wound d. Keep the wound moist
The nurse is caring for a patient who needs a protective environment. The nurse has provided the care needed and is now leaving the room. In which order will the nurse remove the personal protective equipment, beginning with the first step?
1. Remove eyewear/face shield and goggles. 2. Perform hand hygiene, leave room, and close door. 3. Remove gloves. 4. Untie gown, allow gown to fall from shoulders, and do not touch outside of gown; dispose of properly. 5. Remove mask by strings; do not touch outside of mask. 6. Dispose of all contaminated supplies and equipment in designated receptacles. a. 3, 1, 4, 5, 6, 2 b. 1, 4, 5, 3, 6, 2 c. 1, 4, 5, 3, 2, 6 d. 3, 1, 4, 5, 2, 6