A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?
"Delirium does not affect a client's sleep cycle."
"Delirium has a slow progression."
"Delirium has an abrupt onset."
"Delirium does not affect a client's perception of her environment."
The Correct Answer is C
Choice A Reason:
A. Delirium can indeed affect a client's sleep cycle. Clients with delirium often experience disturbances in their sleep-wake cycle, with periods of agitation and confusion at night and drowsiness during the day.
Choice B Reason:
B. Delirium does not have a slow progression. It is a condition characterized by its abrupt and acute onset, which is in contrast to other cognitive disorders like dementia, which have a more gradual progression.
Choice C Reason:
"Delirium has an abrupt onset." This statement is accurate because delirium typically has a sudden and acute onset, with a rapid change in a person's mental state and cognitive function. Delirium is characterized by fluctuations in consciousness, attention, and cognitive function, and it can develop over hours to days.
Choice D Reason:
Delirium does affect a client's perception of their environment. Clients with delirium may have distorted perceptions, hallucinations, and misinterpretations of their surroundings, leading to significant cognitive and perceptual disturbances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
A flat, nonpalpable, colored area of skin on the trunk is not typically a cause for immediate concern. It may represent a pigmented lesion, but without additional information or changes, it doesn't raise immediate red flags for skin cancer.
Choice B Reason:
An atrophic wart on the left index finger, while it may be unsightly or uncomfortable, is not typically a sign of skin cancer. Warts are usually caused by viruses and are not directly related to skin cancer.
Choice C Reason:
"Sings nome in the no region" appears to be a typographical error and is not clear, so it's difficult to assess its significance. It may not be related to skin health concerns.
Choice D Reason:
A change in the appearance of a mole on the shoulder is a concerning finding because changes in moles are one of the potential warning signs of skin cancer. Moles that change in size, shape, color, or border can indicate melanoma, which is a serious and potentially life-threatening form of skin cancer. Therefore, any change in a mole's appearance should be a priority for assessment.
Correct Answer is B
Explanation
Choice A Reason:
Administering oral contrast before the procedure is not a standard part of an IVP. Oral contrast is more commonly used in procedures like a CT scan or an upper gastrointestinal series.
Choice B Reason:
Ensure the client is free of metal objects. An IVP is a radiologic procedure used to examine the urinary system. Ensuring that the client is free of metal objects is crucial because metal objects can interfere with the imaging process, potentially causing artifacts and affecting the quality of the images. Patients should be screened for any metal objects, such as jewelry, prior to the procedure.
Choice C Reason:
Monitoring the client for pain in the suprapubic region is not a specific preparation or action for an IVP.
Choice D Reason:
Assisting the client with bowel cleansing is not a standard part of preparing for an IVP, as the focus of the procedure is on the urinary system, not the gastrointestinal system.
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