A young man with malaria spikes a temperature of 105°F (40.5°C) and begins to hallucinate. How should the nurse assess this?

Delirium

Psychotic break

Possible stroke

Anxiety disorder

Answer and Explanation

The Correct Answer is A

A. Delirium: Delirium is characterized by acute confusion, disorientation, and altered mental status often due to severe infection or high fever.

B. Psychotic break: While hallucinations are a symptom, a psychotic break is generally a chronic mental health condition rather than an acute response to infection.

C. Possible stroke: Stroke symptoms usually involve sudden onset of neurological deficits rather than fever and hallucinations.

D. Anxiety disorder: Anxiety disorders do not typically cause such high fevers or acute hallucinations.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Speak rapidly can make it harder for someone with hearing difficulties to understand.
B. Raise the tone of the voice can make it harder for older adults to hear, as higher frequencies are typically more difficult for them to hear.
C. Speak very loudly can sometimes distort sound and is not always helpful.
D. Lower the tone of the voice makes it easier for older adults to hear, as they often have difficulty hearing higher frequencies.

A. Fever B. A decrease in venous return C. Orthostatic hypotension D. Dehydration

Correct Answer is C

Explanation

A. Fever: Fever can cause weakness or dizziness, but it is not a sudden cause of falling when getting up.
B. A decrease in venous return can contribute to orthostatic hypotension but is not a direct cause on its own.
C. Orthostatic hypotension is a common cause of sudden falls in older adults when they change positions, leading to dizziness or fainting.
D. Dehydration can lead to orthostatic hypotension but is not as direct a cause of sudden falls when getting up as orthostatic hypotension itself.

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A young man with malaria spikes a temperature of 105°F (40.5°C) and begins to hallucinate. How should the nurse assess this?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When communicating with an older adult patient who has difficulty hearing, how should the nurse change her speech?

Correct Answer is D

Explanation

The nurse is assisting an older adult patient out of bed when suddenly the patient begins to fall. What is the likely cause of the fall?

Correct Answer is C

Explanation

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