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 does not affect a client's perception of her environment.".
"Delirium has a slow progression.".
"Delirium does not affect a client's sleep cycle.".
"Delirium has an abrupt onset.".
The Correct Answer is D
“Delirium has an abrupt onset.” Delirium is a serious change in mental abilities that results in confused thinking and a lack of awareness of someone’s surroundings.
The disorder usually comes on fast — within hours or a few days.
Choice A is wrong because delirium does affect a client’s perception of her environment.
Choice B is wrong because delirium does not have a slow progression, but rather an abrupt onset.
Choice C is wrong because delirium can affect a client’s sleep cycle.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
“I need to have a fire escape plan with my family,” “I will use the grab bars when getting in and out of the bathtub,” and “I need to check my medications for expiration dates” are all important home safety measures.
Choice A is wrong because setting the hot water heater to 140 degrees Fahrenheit is too high and can increase the risk of scalding.
The recommended temperature for a hot water heater is 120 degrees Fahrenheit.
Choice B is wrong because applying tape over frayed areas of electrical cords is not a safe solution.
Frayed electrical cords should be replaced to prevent electrical hazards.
Correct Answer is ["C","D","E"]
Explanation
An oral airway can help maintain an open airway during a seizure.
Supplemental oxygen supplies can be used to provide oxygen if the client’s breathing is compromised.
Oral suction equipment can be used to clear secretions from the client’s mouth and prevent aspiration.
Limb restraints: Restraints should not be used during a seizure as they can cause injury.
Blood glucose monitor: While it is important to monitor blood glucose levels in clients with seizures, it is not a priority during a seizure.
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