The nurse is assessing hospitalized older adults for risk factors that could lead to delirium. For which patients does the nurse plan extra care to prevent delirium? (Select all that apply.)
a. A 95-year-old
b. On multiple pain medications
c. Is blind
d. Two days post operative
e. Intractable pain
ANS: A, B, D, E
There are several risk factors for developing delirium, including advanced age, polypharmacy, pain, surgery, and hospitalization. Being blind is not a risk factor.
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The complaint of proximal thigh pain in an older client who has fallen leads the nurse to suspect a hip fracture and that the location of the fracture is
a. intracapsular. b. intratrochanteric. c. subtrochanteric. d. the femoral neck.
An older patient has a pressure ulcer that is resistant to healing despite aggressive therapy. The nurse suspects the need for a protein supplement based on a(n)
a. serum creatinine level of 1.1 mg/dL. b. acid phosphate level of 0.9 U/L. c. folate level of 18.2 ng/mL. d. serum albumin level of 3.1 g/dL.
Nurses incorporate epidemiology into their practice and function in epidemiologic roles through (select all that apply):
a. Policy making and enforcement b. Collection, reporting, analysis, and interpretation of data c. Environmental risk communication d. Documentation on patient charts and records
A patient is experiencing symptoms of post-poliomyelitis syndrome. What should the nurse recall about this health problem?
A. The patient had a recurrence due to receiving an oral polio vaccine booster. B. The patient will have few symptoms other than mild muscle and joint weakness and pain. C. The initial infection occurred in the 1940s and 1950s. D. The patient will have muscle involvement only in muscle groups that were affected initially.