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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?

A.

Delirium

B.

Psychotic break

C.

Possible stroke

D.

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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Related Questions

Correct Answer is B

Explanation

A. Heart attacks due to increased effort to ambulate: While heart attacks are a concern, they are not directly related to musculoskeletal changes and posture.

B. Falls related to posture changes: Age-related changes such as decreased muscle mass and changes in posture increase the risk of falls.

C. Fractures due to poor uptake of calcium: While decreased calcium absorption can lead to fractures, age-related musculoskeletal changes like posture and muscle weakness are more directly linked to fall risk.

D. Respiratory failure due to kyphosis: Kyphosis can impact respiratory function, but the most direct risk from musculoskeletal changes in older adults is falls.

Correct Answer is A

Explanation

A. Nausea. Disulfiram causes an acute sensitivity to alcohol. When alcohol is consumed, it leads to an accumulation of acetaldehyde, causing unpleasant effects like severe nausea, vomiting, and headache, deterring the individual from drinking.
B. Blackouts. Blackouts are periods of memory loss due to heavy drinking but are not specifically induced by the combination of disulfiram and alcohol.
C. Hypertension. While disulfiram can cause cardiovascular effects, hypertension is not the primary or most severe side effect of consuming alcohol while on disulfiram.
D. Headaches. Headaches are indeed a part of the disulfiram-alcohol reaction, but the primary severe side effect leading to the aversion is nausea.

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