A patient with deterioration of all cognitive functions with little or no disturbance of consciousness or perception is best described as being
a. acutely confused c. demented
b. delirious d. depressed
C
Acute confusion is a state of diminished awareness and attention that typically lasts hours to weeks. Dementia is chronic confusion of a longer duration, such as months to years. Alzheimer's disease is a type of dementia that causes numerous deficits, including diminished intellectual abilities, confusion, and impaired judgment. Depression is an altered state of mood that lasts at least six weeks.
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When irrigating an ear, the nurse should perform which intervention(s)? (Select all that apply.)
a. Heat the water to 115 ° F b. Pull the auricle back firmly and hold it c. Place the tip of the syringe loosely in the ear canal d. Introduce fluid with a slow, gentle irrigation e. Use a stronger flow if a foreign body is present
After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines that the teaching was successful when the woman identifies which hormone produced as being the basis for pregnancy tests?
A) Human placental lactogen (hPL) B) Estrogen (estriol) C) Progesterone (progestin) D) Human chorionic gonadotropin (hCG)
A nurse is assessing the muscles of an older adult. What will be assessed?
A) temperature, turgor, moisture C) degree of flexion, associated pain B) mass, tone, strength D) reflexes, range of motion
The family lives in an isolated rural area. The family's home has a dirt floor, and there are chickens living in the house with the family. Due to a recent wind storm, there is a sizeable hole in the roof that lets rain and snow into the house
Which of the following nursing interventions would be a high priority in this situation? A) Make immunization appointments for the children in a nearby town's public health clinic. B) Help the family find funding and manpower to patch and repair the roof of their home. C) Determine the educational readiness of the two children. D) Report the family for child abuse due to neglect.