The nurse is assessing an 80-year-old client during a home visit following hospitalization for minor surgery. The nurse should explain to the client's family members that a risk factor for delirium is:
A) Excessive sleeping.
B) Hypotension.
C) Acute anxiety.
D) Bone fractures.
Question 2
The nurse is assessing a client who has received a tentative diagnosis of delirium. The nurse is talking with the family about the major cause of the client's condition.
Which of the following would be appropriate for the nurse to say to the family?
A) Basically, this diagnosis is based on the inability to talk normally.
B) This diagnosis was based on the fact that you reported there had been a gradual onset of symptoms.
C) This diagnosis is predominately based on the rapid onset of impaired consciousness.
D) This diagnosis was determined based on your report that the client was exposed to an infectious agent.
The nurse needs to note the source of the patient health history
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Martha Rosler, Gladiators, from the series House Beautiful: Bringing the War Home. 2004
Example of simplified note for one-time client.
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