Which problem is the most likely physical cause of an older adult client's altered cognition?

A) Hypothyroidism
B) Hyperthyroidism
C) Hypopituitarism
D) Hyperparathyroidism


Ans: A
Feedback:
Disorders that impair metabolic processes and oxygen use, such as hypothermia and hypothyroidism, can also alter cognition. The body's inadequate intake or impaired use of glucose will limit the quantity available for the brain's metabolic demands.

Nursing

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An 82-year-old man is admitted to a medical-surgical unit for diagnostic confirmation and management of probable delirium. Which of the following statements by the client's daughter best supports the diagnosis?

1. "Dad has always been so independent. He's lived alone for years since my mom died." 2. "Dad just didn't seem to know what he was doing. He would forget what he had for breakfast." 3. "Maybe it's just caused by aging. This usually happens by age 82." 4. "The changes in his behavior came on so quickly. I wasn't sure what was happening."

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The patient who is allowed to take a tub bath should be told the maximum length of time to remain in the water is:

a. 5 to 10 minutes. b. 10 to 20 minutes. c. 20 to 30 minutes. d. 30 to 40 minutes.

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A client would like to practice safer sex and wants information about a method that is 100% safe. Which response by the nurse would be most accurate?

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Nursing