LuElla Jones, 86 years old, has been having nausea, vomiting, and diarrhea for 24 hours. The RN has started an IV to rehydrate Ms. Jones, and the patient has been started on a course of IV antibiotics. The nursing assistant reports that Ms
Jones is acting "really weird" and thought she was her granddaughter. Select the best response to the nursing assistant:
a. "Confusion is normal for people who are sick"
b. "Ms. Jones should probably go to the hospital if she is that sick"
c. "Dehydration and infection are reversible causes of confusion, and Ms. Jones' confusion will probably improve with the IV fluids and antibiotic treatment"
d. "Having an IV is very frightening, so Ms. Jones will probably be confused as long as she is having IV therapy"
C
Response C is the best answer; infection and dehydration are reversible causes of confusion, and Ms. Jones' mental status is likely to improve if these problems are reversed. Responses A, B, and D do not demonstrate knowledge of the impact of dehydration and infection on Ms. Jones' mental status. IV therapy can be frightening, but it would not be the only cause of confusion.
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