Pathophysiological risk factors for delirium include all EXCEPT which of the following?

a. drug toxicities
b. electrolyte imbalances
c. albinism
d. infection


C
Albinism is not one of the pathophysiological risk factors for delirium. Common causes for delirium are infections, dehydration, adverse drug reaction, electrolyte imbalances, hypoglycemia, and hypoxia. However, any condition the impairs the central nervous system, particularly neurotransmitter and brain function, may cause delirium.

Nursing

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A nurse performs a skin screening for a client who has numerous skin lesions. Which lesion does the nurse evaluate first?

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Beverly, a 6-month-old infant, has depressed fontanels. This is caused by

A) increased intracranial pressure. B) hypertension. C) dehydration. D) meningeal irritability.

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The patient is sitting in a chair at the bedside. The nurse is preparing to remove the patient's artificial eye. What should the nurse do to best position the patient for this procedure? Ask the patient to:

1) Lean forward and rest the arms on the overbed table. 2) Sit back in the chair and tilt the head back. 3) Move to the bed and lie down. 4) Stand up and lean over the bed.

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Pharmacological interventions for the client with a pneumothorax would include which of the following? (Select all that apply.)

a. analgesia (either PCA or routinely scheduled medications) b. bronchodilators c. IV medications to provide vasoconstriction d. mucolytic agents e. antibiotic therapy f. antifungal medications

Nursing