A young man with malaria spikes a temperature of 105°F (40.5°C) and begins to hallucinate. How should the nurse assess this?
Delirium
Psychotic break
Possible stroke
Anxiety disorder
The Correct Answer is A
A. Delirium: Delirium is characterized by acute confusion, disorientation, and altered mental status often due to severe infection or high fever.
B. Psychotic break: While hallucinations are a symptom, a psychotic break is generally a chronic mental health condition rather than an acute response to infection.
C. Possible stroke: Stroke symptoms usually involve sudden onset of neurological deficits rather than fever and hallucinations.
D. Anxiety disorder: Anxiety disorders do not typically cause such high fevers or acute hallucinations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Loss of bladder tone: Loss of bladder tone can contribute to urinary issues but is not the primary cause of nocturia.
B. Decrease in testosterone: Decreased testosterone is not a direct cause of nocturia.
C. Intake of caffeine: While caffeine intake can contribute to nocturia, it is not the most likely cause in older adults.
D. Decrease in bladder capacity: Decreased bladder capacity is common in older adults and is a primary cause of nocturia, leading to more frequent urination at night.
Correct Answer is A
Explanation
A. Involuntary movements of the mouth and tongue: Dyskinesia, particularly tardive dyskinesia, involves involuntary movements, often of the mouth, tongue, and sometimes other parts of the body.
B. Abnormal breathing: This is not a typical manifestation of dyskinesia.
C. Migraine headache, hypertension: These symptoms are not associated with dyskinesia.
D. Severe flushing, headache, and tremors: These symptoms do not describe dyskinesia, although tremors can be seen in other movement disorders.
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