An elderly patient has acute confusion after undergoing abdominal
surgery. The patient most likely has:
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delirium. anxiety.
dementia. depression
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3 of 29
Definition
The nurse administers an emergent dose of intravenous (IV)
haloperidol to a patient with delirium who is combative and is
putting herself and others at risk. Which priority instruction should
she give the unlicensed assistive personnel immediately?
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, "Please get a telemetry "Let's put a bed alarm under the
monitor and attach it to this patient's sheets right away."
patient."
"Please apply restraints to the
"Move everything away from the
patient's wrists and ankles and
patient's bed, including the patient's
secure them to the immobile parts
phone and bedside table.
of the bed."
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4 of 29
Definition
The nurse is planning care for a patient with early AD. Interventions
for which patient problems are appropriate for this patient's care
plan? (select all that apply)
A. Pain
B. Airway patency issues
C. Nutritional deficiencies
D. Reduced cardiac output
E. Caregiver stress and fatigue
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A. Neurofibrillary tangles
D. Neuron loss in frontal and
A. "Please get a telemetry monitor
temporal lobes
and attach it to this patient."
E. Decreased production of
neurotransmitters
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