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A client arrives at the clinic with his daughter, reporting memory impairments:

Exhibits

Which of the following clinical feature are consistent with delirium? Select all that apply?

Altered level of consciousness

The onset of symptoms is months to years

Progressively worsens

May be caused by fluid and electrolyte imbalances or infection

May be caused by uncontrolled hypertension and diabetes

May cause impairments in judgment

Memory impairments

Answer and Explanation

Correct Answer : A,D,F

Choice A rationale: Altered consciousness is a hallmark feature of delirium, where individuals may experience fluctuations in awareness.

Choice B rationale: Delirium typically has an acute onset rather than symptoms developing over months to years.

Choice C rationale: Delirium often has a fluctuating course, rather than a consistent progressive decline.

Choice D rationale: Delirium can result from various factors including fluid/electrolyte imbalances or infections.

Choice E rationale: While these conditions might contribute to cognitive impairments, they are not typically associated with delirium.

Choice F rationale: Delirium can affect judgment, but it's not a defining feature.

Choice G rationale: While memory impairments can be seen in delirium, they're often accompanied by altered consciousness and fluctuations in awareness.

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Correct Answer is A

Explanation

Choice A rationale: After visual inspection, the next step typically involves auscultation, which allows the nurse to listen for bowel sounds and gather information about

gastrointestinal function.

Choice B rationale: Percussion involves tapping the abdomen to assess density or abnormal masses but usually follows auscultation.

Choice C rationale: Palpation, both light and deep, follows percussion in the sequence of an abdominal examination.

Choice D rationale: Similar to light palpation, deep palpation follows auscultation and percussion in the sequence of an abdominal examination.

A. Calcium 8.6 mg/dL B. WBC 19,000 mm3 C. Serum pH 7.33 D. Hemoglobin 9 mg/dL

Correct Answer is B

Explanation

Choice A rationale: A calcium level of 8.6 mg/dL is within the normal range.

Choice B rationale: An elevated white blood cell count (WBC) of 19,000 mm3 indicates a potential infection or inflammatory process, requiring immediate attention, especially in a client receiving peritoneal dialysis.

Choice C rationale: A serum pH of 7.33 is within the normal range.

Choice D rationale: A hemoglobin level of 9 mg/dL might indicate anemia, but in a client receiving dialysis, it might not require immediate reporting unless it significantly drops further.

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A client arrives at the clinic with his daughter, reporting memory impairments: Exhibits Which of the following clinical feature are consistent with delirium? Select all that apply?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse completes visual inspection of a client's abdomen. What technique should the nurse perform next in the abdominal examination?

Correct Answer is A

Explanation

The nurse is assessing a client receiving peritoneal dialysis. Which laboratory result should immediately be reported to the primary healthcare provider (PHCP)?

Correct Answer is B

Explanation

The nurse is reviewing the record of a female client with Crohn's disease. Which stool characteristics should the nurse expect to note documented in the client's record?

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The nurse reviews the laboratory reports of a client and concludes that the client has diabetes. Which finding helped the nurse to reach this conclusion?

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When planning care for a client with right ureteral renal calculi, which of the following nursing diagnosis has the less priority of care while caring for this patient?

Upon physical examination, the nurse detects abdominal tenderness, increased bowel sounds accompanied by signs of borborygmi, abdominal distension, and tympany on percussion. Which diagnostic test will confirm Crohn's disease in the client?

Which is a major side effect of radioactive iodine treatment for hyperthyroidism?

A client arrives at the clinic with his daughter, reporting memory impairments:

Exhibits

Which of the following clinical feature are consistent with delirium? Select all that apply?