The nurse is caring for a client diagnosed with delirium. Which of the following should be the priority for treatment?
Identifying the underlying cause.
Keeping the environment quiet.
Reorienting the client often.
Monitoring nutritional intake.
The Correct Answer is A
A. The priority for treating delirium is to identify and address the underlying cause. Delirium is often a symptom of an acute condition such as infection, metabolic disturbances, medication side effects, or other physical issues. Treating the root cause of delirium can help resolve the condition more effectively.
B. While creating a calm, quiet environment can help reduce confusion and agitation, it is not the most critical aspect of treatment. The main focus should be on addressing the cause of the delirium.
C. Reorienting the client is important for safety and reducing confusion, but it will not be sufficient to resolve the delirium if the underlying cause is not addressed. Reorientation is a supportive measure, not the priority intervention.
D. Although monitoring nutrition is important for overall health, it is not the first priority in treating delirium unless malnutrition is identified as a contributing factor to the delirium.
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Related Questions
Correct Answer is C
Explanation
A. Epilepsy is a chronic neurological disorder characterized by recurrent, unprovoked seizures, and an acute condition is not typically the cause of seizures in people with epilepsy.
B. While a seizure lasting more than 5 minutes (status epilepticus) is a medical emergency, it does not define epilepsy. Epilepsy is diagnosed based on recurrent, unprovoked seizures, not the duration of a single seizure.
C. Epilepsy is diagnosed when a person has had two or more unprovoked seizures that occur more than 24 hours apart. This is the key criterion for the diagnosis of epilepsy, which is a chronic condition.
D. While it's true that some forms of epilepsy may not have a known cause, many cases of epilepsy have identifiable causes, such as brain injury, genetic factors, or structural abnormalities. The diagnosis of epilepsy is not solely based on the absence of a known cause for seizures.
Correct Answer is C
Explanation
A. Hypothyroidism is actually more common in women than men, particularly in middle-aged and older women.
B. Low thyroid hormone levels typically lead to a slower heart rate (bradycardia), not an increased heart rate.
C. Hypothyroidism can cause extreme fatigue is correct. Fatigue is one of the most common symptoms of hypothyroidism due to the slowed metabolic processes resulting from low levels of thyroid hormones.
D. Hypothyroidism is associated with weight gain, not weight loss, due to a slowed metabolism. Unexpected weight loss is more commonly seen in hyperthyroidism.
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