An older adult patient takes multiple medications daily. Over 2 days, the patient developed confusion, slurred speech, an unsteady galt, and fluctuating levels of orientation. These findings are most characteristics of
Amnesiac Syndrome
Alzheimer's Disease
Delirium
Dementia
The Correct Answer is C
A. This involves memory loss due to brain injury or alcohol abuse, not acute fluctuating confusion.
B. Alzheimer’s causes progressive, irreversible memory decline that develops gradually, not suddenly over 2 days.
C. Delirium is characterized by acute onset, fluctuating levels of orientation, confusion, speech changes, and impaired gait, often triggered by medications, infections, or metabolic issues.
D. Dementia develops slowly and progressively, not suddenly like delirium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Neurological assessment is important, but not the priority since opioid overdose primarily causes life-threatening respiratory depression.
B. Respiratory assessment is the highest priority because opioids suppress the respiratory center, leading to hypoventilation, hypoxia, or apnea.
C. Hepatic assessment is not the immediate concern in acute overdose.
D. Cardiovascular assessment is necessary, but respiratory status takes precedence because airway and breathing are life-sustaining priorities.
Correct Answer is B
Explanation
A. This is more commonly associated with phencyclidine (PCP) or alcohol intoxication, not cocaine.
B. Cocaine is a powerful stimulant that activates the sympathetic nervous system. This results in mydriasis (dilated pupils), increased heart rate, elevated blood pressure, hypervigilance, and euphoria.
C. Depression is more likely during cocaine withdrawal, not intoxication.
D. Like depression, hypersomnia is a withdrawal symptom. Intoxication typically causes insomnia and restlessness.
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