An elderly man is admitted to the hospital for surgery. A day later, he seems confused and ...

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

Question 3

During an assessment the nurse learns that an older patient uses flavonoids to help reduce joint inflammation caused by osteoarthritis.
 
  Which dietary items should the nurse ensure the patient receives to maintain this patient's practice? (Select all that apply.) A) Green tea
  B) Chocolate
  C) Grapefruit
  D) Blueberries
  E) Raspberries

Question 4

Which of the following older adults is most likely to have his or her health problem characterized as delirium rather than dementia?
 
  A) Mr. L, whose wife has brought him to the emergency department because of the forgetfulness and confusion that he has exhibited over the last 48 hours.
  B) Mrs. O, whose children state that her personality has changed markedly and who has difficulty finding words lately.
  C) Mr. J, who has developed an unsteady and awkward gait coupled with uncoordinated motor skills in recent months.
  D) Mrs. Y, who was diagnosed with a brain tumor and who has experienced consequent changes in behavior and cognition.

Question 5

A 20-year-old college student regularly uses tampons while she is menstruating. She asks the nurse what outstanding sign she should report that might indicate toxic shock syndrome. The most correct response by the nurse would be to observe for
 
  a. sudden hypotension.
  b. malodorous vaginal discharge.
  c. increased abdominal girth.
  d. sudden elevated temperature.