A patient recovering from surgery in the post-anesthesia care unit begins to thrash in bed and pull at the endotracheal tube and IV lines. For which health problem should the nurse provide care for this patient?
a. Delusions
b. Sundowning
c. Hallucinations
d. Emergency delirium
ANS: D
Until its effects wear off, anesthesia can alter neurologic function. Patients may arrive in the PACU awake, arousable, or sleeping. Patients who are sleeping should become more alert during their stay in the PACU. As they emerge from anesthesia, they may become agitated or wild acting for a short time; this is called emergence delirium. Once resolved, the patient returns to calm state and has no recollection of the episode. A. B. C. The patient recovering from anesthesia is not experiencing delusions, sundowning, or hallucinations.
You might also like to view...
The feature that helps health care providers differentiate a somatization disorder from a medical problem is
1. few physical changes occur with somatization disorder. 2. no somatic changes occur over time with physical disorders. 3. no physical changes occur over time with somatization disorders. 4. many physical changes occur over time with somatization disorders.
Which of the following conditions will commonly reveal breath sounds with inspiration greater than expiration on assessment?
1. Normal lung 2. Bronchiectasis 3. Emphysema 4. Acute bronchitis 5. Diffuse pulmonary fibrosis 6. Consolidating pneumonia a. 1, 2, 5 b. 3, 5, 6 c. 2, 3, 4 d. 1, 2, 4
A nurse assesses a confused older adult. The nurse experiences sadness and reflects, "The patient is like one of my grandparents…so helpless." Which response is the nurse demonstrating?
a. Transference b. Countertransference c. Catastrophic reaction d. Defensive coping reaction
When caring for a patient with multiple sclerosis, range of motion is used to
A. increase the pulse rate. B. decrease the blood pressure. C. reduce spasticity and maintain mobility. D. reverse contractures and relieve pain.