The nurse reviews the client's test results.

For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.

A. "Individuals who have this disorder have a flat affect.": A flat affect is more commonly associated with mood disorders or schizophrenia rather than delirium. Delirium primarily affects attention, cognition, and perception, not emotional expression.

B. "This disorder is characterized by a sudden onset of mental confusion.": Delirium is an acute, often reversible, condition marked by a rapid onset of confusion, disorientation, and fluctuating levels of consciousness. This sudden change distinguishes it from chronic cognitive disorders such as dementia.

C. "Individuals who have this disorder speak at a slow pace.": Speech patterns in delirium are typically rapid, pressured, or incoherent rather than uniformly slow. Cognitive disorganization is more prominent than changes in speech rate.

D. "This disorder is not reversible.": Delirium is often reversible if the underlying cause—such as infection, medication effects, or metabolic imbalance, is identified and treated promptly. Prognosis improves with early intervention.

A. Performing a gastrostomy feeding on a stable client: Gastrostomy tube feedings involve sterile technique, monitoring for complications, and assessment of tolerance. These tasks require RN judgment and should not be delegated to assistive personnel.

B. Changing a sterile dressing for a client who is postoperative: Sterile dressing changes involve maintaining asepsis and assessing the wound for signs of infection or complications. This requires professional nursing skill and cannot be safely delegated to assistive personnel.

C. Providing postmortem care to a client: Postmortem care is a noninvasive, routine task that does not require nursing judgment. It can safely be delegated to assistive personnel while ensuring dignity and proper procedure are maintained.

D. Observing the patency of an intravenous catheter on a stable client: Monitoring IV patency requires assessment skills to detect infiltration, phlebitis, or other complications. This task should remain the responsibility of a licensed nurse.