The nurse is caring for an older adult patient who presented to the emergency department with delirium. For which conditions will the nurse assess the patient? Select all that apply
1. Drug abuse
2. Infection
3. Drug toxicity
4. Hypoxemia
5. Fluid volume deficit
Answer: 2, 3, 4, 5
Explanation: Infection, drug toxicity related to polypharmacy and changes in pharmacokinetics, hypoxemia, and fluid imbalance are all factors that may cause delirium in older adults. Drug abuse is a more common source of delirium in adolescents.
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When taking a 52-year-old's pulse rate, the nurse considers which of the following factors that might increase the client's pulse?(Select all that apply) Standard Text: Select all that apply
1. Age 2. Stress 3. Fever 4. Morning vital signs 5. Hemorrhage
A researcher who is developing a new instrument to measure pain has been informed that the instrument has face validity. The researcher's next step should be to do what?
a. Use the instrument in a parent study. b. Use the instrument in a pilot study. c. Assess the reliability of the instrument. d. Assess the content validity of the instrument.
An adolescent patient asks the nurse about sexual practices that help avoid contracting HIV. What should the nurse instruct this patient?
1. Always use a condom. 2. Be sure to be tested for HIV every 6 months. 3. There is no such thing as safe sex. 4. The only safe sex is no sex.
The family of a client in a burn unit asks the nurse for information. The nurse sits with the family and discusses their concerns. What type of communication is this?
A) Intrapersonal B) Interpersonal C) Organizational D) Focused