The nurse is caring for an assigned group of clients. Which client does the nurse identify as being at the highest risk for the development of delirium and will be closely monitored?
A client with a blood glucose level of 110 mg/dL (6.1 mmol/L).
A client who sustained a fractured femur in a motor vehicle crash.
An adult client being prepared for a laparoscopic cholecystectomy.
An older adult client with sepsis from a urinary tract infection.
The Correct Answer is D
Choice A reason: This choice is incorrect. A blood glucose level of 110 mg/dL is within normal range and does not significantly increase the risk of delirium.
Choice B reason: While a fractured femur can be painful and stressful, it does not pose the highest risk for delirium compared to sepsis.
Choice C reason: Preparation for surgery can be a risk factor for delirium, but it is not as high a risk as sepsis in an older adult.
Choice D reason: This is the correct choice. Older adults with sepsis are at a high risk for delirium due to the systemic infection and its impact on overall health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Suggesting a move to a group home based on symptom presence may not be appropriate. Quality of life can be improved in various living situations, and the decision should be individualized.
Choice B reason: This statement is supportive and realistic, acknowledging that while symptoms may persist, quality of life can still improve with ongoing treatment.
Choice C reason: This question could be perceived as confrontational. It's important to discuss the treatment plan's value in a way that is supportive and understanding.
Choice D reason: The medical model aims to reduce symptoms, but it is not always possible to eliminate them entirely. Recovery involves managing symptoms and improving quality of life.
Correct Answer is A
Explanation
Choice A reason: This choice is incorrect as it dismisses the client's feelings and implies a timeline for grief, which can impede communication.
Choice B reason: This choice is appropriate as it offers support and presence, which can facilitate communication.
Choice C reason: This choice is empathetic and acknowledges the client's feelings, promoting communication.
Choice D reason: This choice is open-ended and invites the client to share more, which can enhance communication.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
