A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings should the nurse expect?
Hallucinations
Аgnosia
Bradycardia
Aphasia
The Correct Answer is A
A. Hallucinations: Hallucinations are common in clients experiencing delirium, especially when it is related to a febrile or acute medical illness. They can involve seeing or hearing things that are not present and reflect the acute cognitive disturbances characteristic of delirium.
B. Agnosia: Agnosia is the inability to recognize familiar objects, people, or sounds and is more commonly associated with neurodegenerative disorders such as dementia rather than acute delirium. It is not a typical finding in febrile-induced delirium.
C. Bradycardia: Delirium related to a febrile illness usually does not cause bradycardia. Vital signs are more likely to show tachycardia due to fever or systemic infection. Bradycardia would suggest a different cardiac or medication-related issue.
D. Aphasia: Aphasia, the impairment of language expression or comprehension, is generally linked to stroke or localized brain injury. It is not a common manifestation of acute delirium caused by a febrile illness.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Apple juice: Thin liquids like apple juice can be difficult for clients with dysphagia to control, increasing the risk of aspiration. These should generally be thickened or avoided based on the client’s swallowing ability.
B. Oatmeal: Soft, pureed, or thick foods like oatmeal are easier to swallow and reduce the risk of aspiration. Oatmeal has a cohesive texture that allows safer swallowing for clients with dysphagia.
C. Broth: Clear liquids such as broth are thin and can easily enter the airway, increasing the risk of choking or aspiration in clients with swallowing difficulties.
D. Toast: Dry, hard foods like toast can be difficult to chew and form into a cohesive bolus, making swallowing unsafe for clients with dysphagia.
Correct Answer is A
Explanation
A. Tetany: Calcium is essential for proper neuromuscular function. A deficiency can lead to increased neuromuscular excitability, resulting in muscle spasms, cramps, and tetany, which are hallmark signs of hypocalcemia.
B. Anemia: Anemia is typically related to deficiencies in iron, vitamin B12, or folate, not calcium. While calcium plays roles in other body functions, it is not a direct factor in hemoglobin synthesis or red blood cell production.
C. Kidney stones: Kidney stones are more commonly associated with hypercalcemia or high calcium excretion rather than calcium deficiency. Low calcium intake may actually increase oxalate absorption, but it is not a direct cause of stones.
D. Osteoarthritis: Osteoarthritis is a degenerative joint disease influenced by age, joint stress, and cartilage wear. Calcium deficiency affects bone density (leading to osteoporosis) rather than the cartilage degeneration seen in osteoarthritis.
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