Goals and desired outcomes for an older adult patient experiencing delirium caused by fever and dehydration will focus on what?

Identifying stressors negatively affecting self

Demonstrating motor responses to noxious stimuli

Returning to premorbid levels of function

Exerting control over responses to perceptual distortions

Answer and Explanation

The Correct Answer is C

A. Identifying stressors negatively affecting self may be useful in some mental health conditions but is less relevant for delirium caused by fever and dehydration. Delirium is primarily an acute, reversible condition that is related to physiological causes, such as infection or dehydration, rather than emotional or psychological stressors.
B. Demonstrating motor responses to noxious stimuli refers to a neurophysiological response and is not the primary goal in the treatment of delirium. In delirium, the focus is on addressing the underlying cause (e.g., fever, dehydration), managing symptoms, and restoring cognitive function, rather than evaluating motor responses.
C. Returning to premorbid levels of function is the most appropriate and relevant goal for a patient experiencing delirium due to fever and dehydration. Since delirium in this context is often reversible once the underlying causes (such as dehydration and fever) are addressed, the desired outcome is to help the patient recover and return to their previous level of functioning and cognitive baseline. This is the primary goal of treatment for delirium caused by an acute, reversible condition.
D. Exerting control over responses to perceptual distortions could be a helpful goal in managing patients with psychotic or more chronic cognitive conditions, but delirium primarily affects acute cognitive states. While delirium can involve perceptual distortions, the main focus in treating delirium is addressing the underlying causes and promoting recovery to the patient's previous cognitive state.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Possible child abuse is the most likely assessment. The presence of numerous bruises and the mother's vague, inconsistent details about the falls are concerning and may indicate that the child is being abused. Children at this age may sustain some bumps or bruises due to falls, but repeated and unexplained injuries, especially if the mother provides few details, should raise suspicion. The nurse should report this concern to appropriate authorities for further investigation.
B. Knowledge deficit pertaining to home safety could be a possibility if the mother is unaware of safety precautions in the home, but the vague and inconsistent explanation of the injuries makes this less likely. A knowledge deficit would typically present with more specific concerns and less concern for frequent injury.
C. A child with delayed milestones does not explain the frequent bruises or the vague details provided by the mother. While developmental delays can occur in some children, they are unlikely to account for such a pattern of injuries.
D. Normal behavior for a 2-year-old typically involves some bumps and bruises, but frequent falls resulting in numerous bruises are not considered normal. Most 2-year-olds are still learning motor skills, but they should not be falling down stairs repeatedly.

A. Librium B. Valium C. Ativan D. Zoloft

Correct Answer is D

Explanation

A. Librium (chlordiazepoxide) is a benzodiazepine commonly used to manage alcohol withdrawal symptoms, such as agitation, tremors, and seizures.
B. Valium (diazepam) is another benzodiazepine frequently used for alcohol withdrawal due to its long half-life and calming effects.
C. Ativan (lorazepam) is also used in alcohol withdrawal treatment, especially for patients with liver issues, as it has a shorter half-life and is metabolized differently than other benzodiazepines.
D. Zoloft (sertraline) is an SSRI antidepressant, not used for managing acute alcohol withdrawal. While it may be prescribed later for co-occurring depression or anxiety, it is not appropriate for immediate withdrawal management.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Goals and desired outcomes for an older adult patient experiencing delirium caused by fever and dehydration will focus on what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A mother tells the nurse during an admission interview that her 2-year-old, who has numerous bruises, has fallen down stairs frequently. The mother is able to provide few vague details. The nurse evaluates this as:

Correct Answer is A

Explanation

All of the following medications can be used for alcohol withdrawal except

Correct Answer is D

Explanation

A female comes to the Emergency Department with a broken wrist and severe bruises from a beating by her husband. She states that she does not want to leave the relationship at this time. The most appropriate response by the nurse is:

When an elderly patient is brought into the Emergency Department by family members who reported a fall the nurse became suspicious that the patient had suffered physical abuse. The patient denied that she had been abused. Her denial is most likely based on her.

All of the following are safety guidelines in taking care of a patient with delirium except

A nurse working in the county jail interviews a man who recently committed a violent sexual assault against a woman. Which comment from this perpetrator is most likely?

Progressive brain disorder that causes uncontrolled movements, emotional problems, and cognitive dysfunction.

Delirium occurs in response to all the following stressors except

All of the following are prescription medications currently approved by the FDA for Alzheimer's treatment except

Which of following is medication of choice for a short term treatment of woman who has been sexually assaulted?