Author Question: An elderly man is admitted to the hospital for surgery. A day later, he seems confused and ... (Read 18 times)

Yolanda · **on:** Jul 11, 2018

An elderly man is admitted to the hospital for surgery. A day later, he seems confused and disoriented. He imagines there is a trapdoor in the ceiling above his bed.

His wife panics, telling a nurse that several of her husband's relatives have had Alzheimer's disease but that until now he has seemed sharp as a tack.. What should the nurse do first? A) Control environmental temperatures and noises.
B) Check the patient's chart for medications that can cause delirium.
C) Have the patient evaluated for Alzheimer's disease.
D) Tell the wife there is nothing to worry about.

Question 2

A 6-year-old girl has been admitted to the neurological ICU after suffering a brain injury that resulted from choking on a toy ball. This girl's injuries are ultimately a result of which of the following alterations in normal respiratory function?

A) Shunting
B) Injury to the alveolar-capillary membrane
C) Dead-space ventilation
D) A silent unit

vickyvicksss · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B
Feedback:
The rapid onset and the delusion make it likely that this is delirium rather than dementia. The man's medication should be checked immediately, as painkillers used after surgery may have this effect. Controlling the environment may be helpful, but removing the cause of delirium is of the most importance. The wife is quite right to be concerned, but she should be told about the likelihood of delirium in this situation. Evaluation for Alzheimer's disease can take place later if that seems desirable.

Answer to Question 2

A