A nurse in a long-term care facility is caring for a client. The nurse should identify that which of the following conditions places the client at an increased risk for developing delirium?

WBC count 13,000/mm

Neuropathy

BUN 16 mg/dL

Hypertension

Answer and Explanation

The Correct Answer is A

A WBC count of 13,000/mm indicates infection, which is a common cause of delirium in older adults. Delirium is an acute confusional state that can result from various factors, such as medications, metabolic disturbances, sensory impairment, or environmental changes. Neuropathy, BUN 16 mg/dL, and hypertension are chronic conditions that do not directly cause delirium, although they may contribute to the client's overall health status.

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Correct Answer is C

Explanation

Selegiline is a monoamine oxidase inhibitor (MAOI), which can cause a hypertensive crisis if taken with selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine.

A. Rationalization B. Compensation C. Displacement D. Denial

Correct Answer is C

Explanation

The client is transferring his anger toward his partner to the nurse, who is a less threatening person.

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A nurse in a long-term care facility is caring for a client. The nurse should identify that which of the following conditions places the client at an increased risk for developing delirium?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline. The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline?

Correct Answer is C

Explanation

A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?

Correct Answer is C

Explanation

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