Which are would be a priority of care for a patient who is being admitted to the hospital and its demonstrating signs of delirium?

Safety precaution

Oxygenation

Pain management

Infection

Answer and Explanation

The Correct Answer is A

A.   The priority in managing delirium is ensuring the patient's safety, as delirium increases the risk of falls, self-harm, and other dangerous behaviors. Close monitoring and protective measures are essential.
B.   Oxygenation is important but not the first priority unless the patient shows signs of hypoxia or respiratory distress.
C.   Pain management should be considered, but it is secondary to addressing the safety risks associated with delirium.
D.   Infection should be investigated, but the immediate concern in delirium is safety due to the altered mental state.

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Correct Answer is C

Explanation

A. An ICP of 10 mm HG is within normal limits.
B. An ICP of 15 mm HG is within normal limits.
C. An ICP of 20 mm Hg is elevated and should be reported immediately as it can indicate worsening conditions like brain swelling or herniation. Normal ICP is typically 5 to 15 mm Hg.
D. An ICP of 5 mm HG is also normal and would not require immediate reporting.

A. Restrict head movement. B. Apply cool compresses. C. Keep both eyes patched. D. Eye drops to constrict the pupils will be prescribed.

Correct Answer is A

Explanation

A. After retinal detachment surgery, it is essential to restrict head movement to avoid further damage to the retina or to ensure proper healing post-surgery.
B. Apply cool compresses is not typically recommended before or after retinal detachment surgery, as it could cause discomfort or worsen symptoms.
C. Keep both eyes patched is not necessary unless specifically instructed by the surgeon.
D. Eye drops to constrict the pupils are generally used after surgery but are not a preoperative measure.

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Which are would be a priority of care for a patient who is being admitted to the hospital and its demonstrating signs of delirium?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

For the patient after a craniotomy, which intracranial pressure (ICP) reading would the nurse report immediately to the healthcare provider?

Correct Answer is C

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A nurse is talking with a client who is scheduled for surgery to repair retinal detachment. Which of the following preoperative instructions should the nurse include?

Correct Answer is A

Explanation

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