Which are would be a priority of care for a patient who is being admitted to the hospital and its demonstrating signs of delirium?

Safety precaution

Oxygenation

Pain management

Infection

Answer and Explanation

The Correct Answer is A

A.   The priority in managing delirium is ensuring the patient's safety, as delirium increases the risk of falls, self-harm, and other dangerous behaviors. Close monitoring and protective measures are essential.
B.   Oxygenation is important but not the first priority unless the patient shows signs of hypoxia or respiratory distress.
C.   Pain management should be considered, but it is secondary to addressing the safety risks associated with delirium.
D.   Infection should be investigated, but the immediate concern in delirium is safety due to the altered mental state.

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Correct Answer is C

Explanation

A. A flat supine position is not recommended for patients with meningitis; they should be kept at a 30- degree angle to reduce ICP.

B. Restraining the patient is unnecessary unless there is an immediate risk of harm, and it can cause distress.
C. Reducing environmental stimuli helps minimize discomfort and risk of seizures, especially in meningitis, which causes hypersensitivity to light and sound.
D. Fluid intake should be monitored carefully. Excessive fluids may increase ICP in a patient with meningitis.

A. Hypotension B. Decreased level of consciousness C. Tachypnea D. Bilateral weakness of extremities

Correct Answer is B

Explanation

A. Increased intracranial pressure (ICP) typically causes hypertension (increased blood pressure) rather than hypotension.
B. A decreased level of consciousness is one of the hallmark signs of increased ICP, as pressure on the brainstem affects consciousness.
C. Tachypnea may occur with ICP, but it is less specific compared to decreased consciousness.
D. This can occur with brain injury but is not as directly indicative of ICP as decreased consciousness.

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Which are would be a priority of care for a patient who is being admitted to the hospital and its demonstrating signs of delirium?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which interventions would the nurse include in the plan of care for a patient with a diagnosis of bacterial meningitis?

Correct Answer is C

Explanation

A nurse is caring for a client who has sustained a traumatic brain injury. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure?

Correct Answer is B

Explanation

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