A nurse is caring for a patient with a diagnosis of delirium. Which of the following is an ex-pected assessment finding for this patient?

a. Normal attention span
b. Fluctuation in symptoms
c. Normal sleep cycle
d. Increased appetite


ANS: B
A hallmark of delirium is fluctuation in symptoms. Patients with delirium typically have de-creased attention spans and an altered sleep-wake cycle. Classic symptoms of delirium do not involve changes in appetite; however, patients often have a decreased appetite.

Nursing

You might also like to view...

Bonnie is a 70-year-old woman who lives alone. One evening, she felt light-headed and dizzy. When her head began to ache, she decided to take an analgesic and go to bed early

The following morning, upon awakening, she was unable to move the bed sheets with her right arm. At this point she was experiencing tingling sensations in her limbs, and she had difficulty keeping her balance. She dialed 911 for help, and by the time the ambulance arrived, she was confused and unable to articulate her words although she knew what information he was asking of her. In the hospital, she was examined and treated for ischemic stroke. Stroke, or brain attack, involves brain tissue injury. Describe ischemic penumbra and what factors contribute to the survival of the neurons involved. What happens if the cells of the penumbra are unable to be preserved? Compare and contrast hypoxia and ischemia. What condition is more dangerous to the brain? Explain your answer. Knowing what you do about the effects of ischemia on the brain, why would someone with ischemic stroke develop cerebral edema? What type of aphasia was Bonnie exhibiting when talking to her care givers? Explain your answer.

Nursing

A client recovering from bone flap removal is scheduled for further surgery. The nurse should anticipate which surgery for this client?

1. Burr hole 2. Craniotomy 3. Cranioplasty 4. Craniectomy

Nursing

What are the benefits of data integration? Select all that apply

1. Potential for improved remote access of clinical data from various systems 2. Trend analysis of financial and clinical data 3. Encouraging the use of systems customized to meet department specifications 4. Development of a computer-based patient record 5. Facilitation of data collection for accreditation purposes

Nursing

What other medications might be prescribed for M.E. and why?

What will be an ideal response?

Nursing