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 sleep cycle."
"Delirium has a slow progression."
"Delirium does not affect a client's perception of her environment."
The Correct Answer is A
Choice A reason:
Delirium is a sudden and acute change in mental status characterized by confusion, disorientation, altered consciousness, and other cognitive disturbances. It has an abrupt onset and is often related to an underlying medical condition, medication, or other factors such as infections or metabolic imbalances.
Choice B reason:
Delirium can indeed affect a client's sleep cycle. It often disrupts sleep patterns and can lead to sleep disturbances
Choice C reason:
Delirium does not have a slow progression. It is typically characterized by a rapid and fluctuating course, and it can develop over hours to days.
Choice D reason:
Delirium does affect a client's perception of their environment. Clients with delirium may experience hallucinations, paranoia, and other alterations in perception. They may be unable to accurately interpret or interact with their surroundings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Plain yogurt is appropriate for a full-liquid diet as it is a liquid at room temperature and provides nutritional value.
A full-liquid diet consists of foods that are liquid at room temperature and can be easily poured or sipped. It includes clear liquids as well as liquids that are more opaque, like milk-based products and certain blended foods. Among the options provided:
Choice B reason:
Scrambled eggs are not appropriate. Scrambled eggs are not typically considered a part of a full-liquid diet. They have a solid texture and may not be suitable for this specific dietary progression.
Choice C reason:
Oatmeal is inappropriate. Oatmeal is a solid food that does not meet the criteria for a full-liquid diet. It is usually allowed on a soft or regular diet after appropriate postoperative recovery.
Choice D reason:
Applesauce is inappropriate. While applesauce is softer than solid foods, it is not typically included in a full liquid diet. It is more commonly associated with a soft or pureed diet.
Correct Answer is B
Explanation
Choice A reason:
Sodium 140 mEq/L is incorrect because it falls within the normal range (135-145 mEq/L).
Choice B reason:
A potassium level of 5.8 mEq/L is appropriate because it is above the normal range (typically around 3.5-5.0 mEq/L). Elevated potassium levels, known as hyperkalaemia, can lead to serious cardiac disturbances, including arrhythmias or even cardiac arrest. It is important to notify the healthcare provider promptly so that appropriate interventions can be initiated to address the high potassium level.
Choice C reason:
Calcium 9.6 mg/dL is incorrect because it is within the normal range (8.5-10.5 mg/dL).
Choice D reason:
Magnesium 1.9 mEq/L is incorrect because it is within the normal range (1.5-2.5 mEq/L).
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