The nurse is caring for an assigned group of clients. Which client does the nurse identify as being at the highest risk for the development of delirium and will be closely monitored?

A client with a blood glucose level of 110 mg/dL (6.1 mmol/L).

A client who sustained a fractured femur in a motor vehicle crash.

An adult client being prepared for a laparoscopic cholecystectomy.

An older adult client with sepsis from a urinary tract infection.

Answer and Explanation

The Correct Answer is D

Choice A reason: This choice is incorrect. A blood glucose level of 110 mg/dL is within normal range and does not significantly increase the risk of delirium.

Choice B reason: While a fractured femur can be painful and stressful, it does not pose the highest risk for delirium compared to sepsis.

Choice C reason: Preparation for surgery can be a risk factor for delirium, but it is not as high a risk as sepsis in an older adult.

Choice D reason: This is the correct choice. Older adults with sepsis are at a high risk for delirium due to the systemic infection and its impact on overall health.

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Correct Answer is A

Explanation

Choice A reason: This is the correct choice. These behaviors are indicative of the inatention and hyperactivity- impulsivity symptoms of ADHD.
Choice B reason: Being withdrawn in social contexts but engaging with family does not provide clear evidence of ADHD.
Choice C reason: Stubbornness and resistance to directions alone are not sufficient to diagnose ADHD.
Choice D reason: Cruelty to animals and lack of guilt are not symptoms of ADHD and may indicate other behavioral issues.

A. The medication will help your spouse sleep beter at night and stay awake during the day. B. This will not result in any improvements to the client's symptoms of dementia, but it will make the client much more compliant and easier to manage. C. It is important to closely follow the administration schedule for this drug if it is to help your spouse. D. The medication won't cure your spouse's dementia, but it has the potential to slow down the progression of the disease.

Correct Answer is D

Explanation

Choice A reason: This choice is incorrect. While some medications may help improve sleep paterns, they are not primarily used to regulate sleep in dementia patients.
Choice B reason: This choice is incorrect. Medications for dementia aim to improve symptoms and quality of life, not just to make patients more compliant.

Choice C reason: This choice is misleading. While following the administration schedule is important, it does not guarantee recovery since dementia is currently incurable.

Choice D reason: This is the correct choice. Medications for dementia, such as cholinesterase inhibitors and memantine, may help slow the progression of symptoms.

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The nurse is caring for an assigned group of clients. Which client does the nurse identify as being at the highest risk for the development of delirium and will be closely monitored?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adolescent is being observed for atention deficit hyperactivity disorder (ADHD). Which circumstance would demonstrate evidence to support this diagnosis?

Correct Answer is A

Explanation

The geriatrician has prescribed medication for an 80-year-old client to treat the client's dementia. Which teaching points should the nurse provide to the client's spouse about the new medication?

Correct Answer is D

Explanation

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