A nurse is collecting data from a client who is experiencing delirium. Which of the following findings should the nurse expect?

Echopraxia

Aphasia

Acute onset of confusion

Inability to read

Answer and Explanation

The Correct Answer is C

Choice A reason: Echopraxia, mimicking movements, is linked to psychiatric conditions like schizophrenia, not delirium. Delirium features disordered cognition from physiological causes (e.g., infection), not motor imitation. Scientifically, this lacks relevance to delirium’s acute, fluctuating mental state driven by underlying medical issues.

Choice B reason: Aphasia, a language deficit, stems from brain damage (e.g., stroke), not delirium’s reversible cognitive disruption. Delirium affects attention and awareness, not specific linguistic skills. Scientifically, this is distinct from delirium’s diffuse, temporary confusion tied to systemic or metabolic disturbances.

Choice C reason: Acute onset of confusion defines delirium, a sudden cognitive decline from causes like infection or drugs. It’s reversible with treatment, featuring inattention and disorientation, aligning with scientific criteria as a hallmark symptom distinguishing it from chronic conditions like dementia.

Choice D reason: Inability to read relates to literacy or focal brain injury, not delirium. Delirium impairs global cognition—attention and memory—not specific skills like reading unless confusion interferes indirectly. Scientifically, this isn’t a core feature, as delirium’s impact is broader and transient.

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Correct Answer is B

Explanation

Choice A reason: Every 2 hours for wheezing is incorrect; montelukast is daily, not PRN. Scientifically, it’s a leukotriene inhibitor for prevention, not acute relief, showing misunderstanding of its chronic asthma management role versus rescue inhalers.

Choice B reason: Once daily in the evening is correct for montelukast, optimizing its anti-inflammatory effect overnight. Scientifically, this aligns with pharmacokinetics and asthma’s nocturnal worsening, indicating accurate understanding of its administration for long-term control.

Choice C reason: Stopping with steroids is wrong; montelukast complements, not replaces, them. Scientifically, it targets different pathways (leukotrienes vs. corticosteroids), and combined use enhances control, reflecting a misgrasp of its additive role in asthma therapy.

Choice D reason: Two months for efficacy is false; montelukast acts within days. Scientifically, its leukotriene blockade reduces inflammation quickly, not over months, suggesting misunderstanding of its rapid onset in asthma symptom prevention per evidence.

A. "Carry your newborn back to the nursery in your arms when you need to rest." B. "Request that the nurses show their nursing license prior to removing your newborn from the room." C. "Alert the staff if any of your newborn’s identification bands are missing." D. "Leave your newborn in the bassinet in your room while you use the bathroom."

Correct Answer is C

Explanation

Choice A reason: Carrying the newborn to the nursery risks dropping due to postpartum fatigue or weakness. Scientifically, this increases injury potential, as maternal strength is compromised early postpartum, making it an unsafe practice compared to staff-assisted transport protocols.

Choice B reason: Requesting licenses is impractical and delays care; ID badges suffice for security. Scientifically, this overcomplicates verification, as hospitals use standardized identification, reducing abduction risk effectively without burdening staff or compromising timely newborn management.

Choice C reason: Missing ID bands threaten security, risking mix-ups or abduction. Alerting staff ensures immediate correction, aligning with scientific safety protocols, as dual identification (mother and baby) is critical postpartum to prevent errors or unauthorized removal in healthcare settings.

Choice D reason: Leaving the newborn unattended in the bassinet risks theft or falls, especially in an unsecured room. Scientifically, constant supervision or staff notification is safer, as postpartum units prioritize vigilance to protect vulnerable infants from preventable harm.

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A nurse is collecting data from a client who is experiencing delirium. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who is postpartum about keeping her newborn safe while in the facility. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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A home health nurse is conducting a home inspection for a client who is at risk for falls. Which of the following instructions should the nurse provide for the client?

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