Nokea
The nurse is teaching a group of students about contributing factors for delirium. The nurse is correct in identifying that delirium can be caused by:
- A. Fever
- B. Alzheimer's disease
- C. Hypoglycemia
- D. Vascular disease
- E. Infection
Correct Answer: A,C,E
Rationale: Fever, hypoglycemia, and infection are reversible causes of delirium, unlike Alzheimer's, which causes dementia.
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This nurse is caring for a client who is receiving prescribed carbamazepine. Which of the following findings would indicate a therapeutic response?
- A. Decreased mood lability
- B. Steady gait
- C. Urinary continence
- D. Increased bone mass
Correct Answer: B
Rationale: Carbamazepine is an anticonvulsant used for seizures, and a steady gait indicates reduced seizure activity or improved neurological stability. Mood lability, urinary continence, and bone mass are not primary therapeutic outcomes.
This nurse is caring for a client who is receiving prescribed carbamazepine. Which of the following findings would indicate a therapeutic response?
- A. Decreased mood lability
- B. Steady gait
- C. Urinary continence
- D. Increased bone mass
Correct Answer: B
Rationale: Carbamazepine is an anticonvulsant used for seizures, and a steady gait indicates reduced seizure activity or improved neurological stability. Mood lability, urinary continence, and bone mass are not primary therapeutic outcomes.
The nurse is caring for a client newly prescribed ropinirole. The nurse understands that this medication is prescribed to treat which condition?
- A. Multiple Sclerosis
- B. Parkinson disease
- C. Schizophrenia
- D. Guillain-Barré syndrome
Correct Answer: B
Rationale: Ropinirole is a dopamine agonist used to treat Parkinson's disease by improving motor symptoms. It is not indicated for Multiple Sclerosis, Schizophrenia, or Guillain-Barré syndrome, which involve different pathophysiology and treatments.
The following scenario applies to the next 1 items
A client arrives at the clinic with his daughter, reporting memory impairments
Item 1 of 1
Nurses' Note
A 71-year-old male arrives with his daughter with concerns about memory loss. The client's daughter reports that he has forgotten key dates, such as birthdays and his wedding anniversary, over the past six months. She emphasized that he would never forget these dates. Further, the client's daughter also reports that driving has become more difficult and that the client has been involved in two minor accidents over the past six months. He has also misplaced three sets of keys. The daughter describes her father's judgment as 'declining' along with his memory. The client's daughter is concerned that her father may have dementia. The client is alert and fully oriented. The client had difficulty with remote memory questioning. Immediate and recent memory was intact. The client denied any pain or physical symptoms,
stating, "I'm here because my daughter insisted."
Click to specify if the clinical feature is consistent with delirium or dementia: The onset of symptoms is months to years
- A. The onset of symptoms is months to years
- B. May be caused by uncontrolled hypertension and diabetes
- C. Progressively worsens
- D. Memory impairments
- E. May be caused by fluid and electrolyte imbalances or infection
- F. May cause impairments in judgment
- G. Altered level of consciousness
Correct Answer: B,B,B,A,A,A,B
Rationale: Dementia has a gradual onset over months to years.
A nurse is caring for a client with a history of seizures who is at risk for injury. Which intervention is the highest priority to reduce the client's risk of injury?
- A. Keeping the client's room dimly lit to minimize visual stimulation
- B. Administer antiepileptic medications as prescribed.
- C. Implement seizure precautions, including padded side rails up and the bed in the lowest position.
- D. Provide education to the client and family about seizure triggers and safety measures.
Correct Answer: C
Rationale: Seizure precautions directly reduce injury risk during a seizure by ensuring a safe environment.