A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to Include?
"Delirium has an abrupt onset.”
"Delirium does not affect a client's perception of her environment."
"Delirium has a slow progression.”
Delirium does not affect a client's sleep cycle
The Correct Answer is A
Delirium is an acute confusional state that develops rapidly over a short period of time, often within hours or days. It is characterized by a disturbance in consciousness and attention, along with changes in cognition and perception.
Delirium can significantly impact a client's perception of their environment. Clients with delirium may experience hallucinations, delusions, and misinterpretations of their surroundings. They may become disoriented, have difficulty recognizing familiar people or places, and exhibit altered levels of awareness and attention.
As mentioned earlier, delirium has an abrupt onset, meaning it develops rapidly. Delirium is usually a transient condition that fluctuates throughout the day, with symptoms varying in severity.
Delirium can disrupt a client's sleep-wake cycle. Clients with delirium may experience disturbances in their sleep patterns, such as difficulty falling asleep, frequent awakening during the night, or excessive sleepiness during the day.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
An IVP is a radiographic procedure that involves injecting a contrast dye into the vein to visualize the urinary tract. Metal objects can interfere with the imaging process and may need to be removed or avoided during the procedure. The nurse should assess the client for any metal objects, such as jewelry or clothing accessories, and ensure they are removed before the procedure to ensure accurate imaging.
Monitoring the client for pain in the suprapubic region is not directly related to an IVP. Suprapubic pain may be associated with other urinary tract procedures or conditions, but it is not a specific concern during an IVP.
Assisting the client with a bowel cleansing is not necessary for an IVP. Bowel cleansing is typically done for procedures involving the lower gastrointestinal tract, such as colonoscopy or barium enema.
Administering oral contrast before the procedure is also not necessary for an IVP. In an IVP, the contrast dye is administered intravenously, not orally. Oral contrast is typically used for imaging studies of the gastrointestinal tract, such as an upper GI series or CT scan of the abdomen.
Correct Answer is ["B","C","D","E"]
Explanation
Seizures can sometimes lead to decreased oxygen levels, and having supplemental oxygen readily available can help ensure the client's oxygenation during and after a seizure.
Seizures can sometimes cause excessive saliva or vomit, which may lead to airway obstruction. Having oral suction equipment available allows the nurse to quickly clear the airway if necessary.
In some cases, seizures can cause the client's airway to become compromised due to tongue biting or other factors. Having an oral airway available allows the nurse to maintain an open airway during a seizure and prevent any potential airway obstruction.
Hypoglycemia may lead to seizures and therefore blood glucose monitoring is important.
Limb restraints are not recommended as routine seizure precautions unless specifically ordered by the healthcare provider due to safety concerns or risk of self-injury during seizures.
Restraints should only be used as a last resort if other interventions have failed and there is a significant risk to the client's safety.
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