While providing care the nurse suspects an older patient ...

[pane00]

While providing care the nurse suspects an older patient recovering from a stroke is experiencing pain. What did the nurse assess in the patient? (Select all that apply.)
 
  A) Agitation
  B) Perspiration
  C) Poor appetite
  D) Increased focus
  E) Increased blood pressure

Question 2

As per her routine, the daughter of an 82-year-old patient recovering from a prostate resection has come to the hospital in the morning to be with her father at the bedside.
 
  The daughter has approached her father's nurse and stated that he is uncharacteristicall y difficult to rouse this morning, with his only verbal response being occasional nonsensical muttering. What is the care team's most appropriate response? A) Diagnostic imaging to determine the location of any organic brain changes.
  B) Assessment of the patient's mood and current stressors.
  C) Assessment to determine the cause of his delirium.
  D) Screening for risk factors that would suggest Alzheimer's disease.

[ASDFGJLO]

Answer to Question 1

A, B, C, E
Feedback:
Signs that the patient with cognitive impairment could be experiencing pain include agitation, perspiration, poor appetite, and increased vital signs. Increased focus is not an indication of pain in the cognitively impaired patient.

Answer to Question 2

C
Feedback:
The patient's rapid onset and obtunded level of consciousness are most indicative of delirium rather than dementia or depression.

[pane00]

Gracias!

[bulacsom]

Excellent