Author Question: An older adult client, hospitalized post-surgery, wakes up in the middle of the night very confused. ... (Read 143 times)

awywial · **on:** Jun 25, 2018

An older adult client, hospitalized post-surgery, wakes up in the middle of the night very confused. The nurse reorients the client to the surroundings and gets the client to return to sleep.

Which should the nurse consider as a source for the client's confusion?
A) Ambien 10 mg as needed at bedtime for sleep
B) The client's age
C) The death of the client's husband last month
D) History of cardiac disease

Question 2

A non-English-speaking school-age client is hospitalized with encephalitis and is experiencing delirium. Which intervention promotes a therapeutic environment for this child and family?

A) Making sure the parents can set up the treatments for their child
B) Encouraging the family to remain at the bedside with the client
C) Making sure the child comes back for the follow-up appointment
D) Providing written instructions before discharge

josephsuarez · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

Certain medications, such as sleeping pills, tranquilizers, and pain medications, can cause symptoms similar to dementia. Therefore, the client's medication must be reviewed to determine the effects of drugs and cognitive changes. Although loss of a loved one may result in depression, it is unlikely to be the source of confusion. Age alone does not cause confusion, and cardiac disease alone would not cause confusion.

Answer to Question 2

Answer: B

Encouraging the family to remain at the bedside with the client will promote a therapeutic environment for a client experiencing delirium caused by encephalitis. All of the other interventions are important for the discharge planning of this client.