As per her routine, the daughter of an 82-year-old patient recovering from a prostate resection has come to the hospital in the morning to be with her father at the bedside
The daughter has approached her father's nurse and stated that he is uncharacteristically difficult to rouse this morning, with his only verbal response being occasional nonsensical muttering. What is the care team's most appropriate response? A) Diagnostic imaging to determine the location of any organic brain changes.
B) Assessment of the patient's mood and current stressors.
C) Assessment to determine the cause of his delirium.
D) Screening for risk factors that would suggest Alzheimer's disease.
C
Feedback:
The patient's rapid onset and obtunded level of consciousness are most indicative of delirium rather than dementia or depression.
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The nurse is caring for a client from another country who was admitted with hypertension and chronic renal failure. The client is receiving hemodialysis three times a week. The nurse is assessing the client's diet and the client reports the use of salt su
When teaching the client to avoid salt substitute, which rationale supports this teaching point? A) They will increase the risk of AV fistula infection. B) They will cause the client to retain fluid. C) They will interact with the client's antihypertensive medications. D) They can potentiate hyperkalemia.
The nurse is planning care for three newly-delivered adolescents and their babies. What should the nurse keep in mind when planning their care?
A. The baby's father should be encouraged to participate in teaching. B. A class for all the adolescents would decrease teaching effectiveness. C. The schools that the adolescents attend will provide teaching on bathing. D. Adolescents understand the danger signals in newborns.
In which of the following patients is the use of steroids contraindicated?
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Why is the client with polycythemia vera at an increased risk for a myocardial infarction?
A. The rapid synthesis of cells greatly increases metabolism. B. The abnormal hemoglobin in the erythrocytes inadequately oxygenates the myo-cardium. C. The increased number of erythrocytes increases blood viscosity and the workload of the heart. D. The disease is most prevalent among men in their 60s and 70s who have other conditions that damage the heart.