A 45 year old client with a history of drug and alcohol abuse is admitted to the hospital. On day 2 the client has rapidly fluctuating moods and believes the King of England is in his room. How will the nurse document these findings?
A Overdose
B Acute dementia
C Substance abuse comorbidity
D Acute delirium
The Correct Answer is D
Choice A Rationale: Documenting an overdose is premature without further assessment and evidence.
Choice B Rationale: Acute dementia is not typically diagnosed based on rapidly fluctuating moods alone, and it may not be appropriate for this situation.
Choice C Rationale: While substance abuse comorbidity may be present, it does not fully capture the client's current presentation.
Choice D Rationale: Documenting acute delirium is appropriate in this case. The client's symptoms, including rapidly fluctuating moods and delusions, are indicative of acute delirium, which can be related to substance withdrawal or other medical issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Rationale: some medications that are used to calm down people with dementia can have serious side effects, especially for older adults. One of these side effects is an increased risk of experiencing a stroke, which can be life-threatening.
Choice B Rationale: Increased blood pressure can be a side effect of some medications used to calm patients with dementia, but it may not be the primary reason for not prescribing such medications. Furthermore, some medications can lower blood pressure, not increase it.
Choice C Rationale: Increased risk for infection is not typically a reason to avoid medications to calm dementia patients.
Choice D Rationale: is partially true because some medications can increase the risk for falls, but this is not the main reason why they are avoided.
Correct Answer is ["B","E"]
Explanation
Choice A Rationale: Tetanus does not affect only the spinal cord; it is a systemic bacterial infection that affects the nervous system and muscles.
Choice B Rationale: Manifestations of tetanus can include sustained muscle contractions, which result in muscle stiffness and spasms.
Choice C Rationale: Tetanus is not caused by a recent viral infection; it is caused by the bacterium Clostridium tetani.
Choice D Rationale: While tetanus can result from contaminated wounds, it is not typically associated with improperly processed foods. It is caused by the spores of the Clostridium tetani bacterium.
Choice E Rationale: Tetanus spores are commonly found in soil, gardens, and manure. Contaminated wounds, especially puncture wounds, are a common route of transmission for the spores.
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