An elderly patient is admitted with delirium secondary to a urinary tract infection. "The family asks whether the patient will recover?" What would be the nurses' best answer?
"Unfortunately, delirium is a progressively disabling disorder."
"The confusion will probably get better as we treat the infection.
The health care provider is the best person to answer your question."
"I will be glad to contact the chaplain to talk with you."
The Correct Answer is B
A. Delirium is usually acute and reversible, especially when caused by an underlying condition like a UTI.
B. Delirium in elderly patients is often secondary to an acute illness such as a urinary tract infection. Treatment of the underlying cause typically resolves the confusion, so this statement provides accurate and reassuring information to the family.
C. While the provider can give a formal prognosis, the nurse can provide evidence-based, general information about delirium recovery.
D. While supportive, this does not address the family’s question about recovery.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Referral of a formerly suicidal patient to a support group is a form of tertiary prevention, aimed at preventing recurrence and promoting recovery after an event.
B. Psychiatric hospitalization of a suicidal patient is considered secondary prevention, targeting individuals at immediate risk to prevent harm.
C. Suicide precautions for 24 hours for newly admitted patients is secondary prevention, focused on intervening during a high-risk period.
D. Helping school children learn to manage stress and be resilient is primary prevention, aimed at preventing the onset of suicidal behaviors before any signs or risk factors appear.
Correct Answer is C
Explanation
A. Haloperidol is not commonly associated with bleeding; this is more relevant to anticoagulants or antiplatelet therapy.
B. Pancreatitis is more commonly associated with certain antipsychotics like clozapine or valproate, not haloperidol.
C. Haloperidol, a typical antipsychotic, can prolong the QT interval and cause cardiac dysrhythmias, especially in higher doses or IV administration. Monitoring ECG and cardiac status is important.
D. Cataract formation is a potential adverse effect of long-term use of atypical antipsychotics such as quetiapine or olanzapine, not haloperidol.
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