Delirium is usually due to which of the following factors?
a. nervous system abnormalities
b. potentially reversible medical abnormalities
c. psychological trauma
d. neurotransmitter short circuit
B
Delirium is usually due to potentially reversible medical abnormalities. For the elderly, conditions that can cause delirium include infection, dehydration, or drug toxicities.
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A community health nurse provides care to a group of Hispanic people living in an area that is heavily populated by white people. The Hispanic people in this community are an example of a:
A) Subculture B) Subgroup C) Minority D) Majority
A nurse is obtaining a history and reviewing the chart of an adult male patient who has been taking oral androgens. Which assessment would warrant notifying the provider?
a. Acne and increased facial hair b. Breast enlargement c. Increased libido d. Nausea, anorexia, and fatigue
The postpartum homecare nurse is assessing a new mother, and finds her temperature to be 101.6°F. What is the most important nursing action?
1. Ask the mother how often and how well the baby is nursing. 2. Determine the frequency of the mother's voiding and stooling. 3. Verify how many hours of sleep she is getting per day. 4. Assess the odor and color of the lochia and perineum.
A nurse at the dermatology office triages calls. Which of the following clients is the highest priority to follow up?
A) A 2-year-old with diaper rash B) A 20-year-old with red sunburn on the chest and arms C) A 78-year-old with a lesion that is black, swollen, and draining liquid D) A 90-year-old with flat discolored spots on face