Exam (elaborations)
BSN425 Exam 1 critical Care Questions n answers graded A+ already passed
- Course
- BSN425
- Institution
- Nightingale College
BSN425 Exam 1 critical Care Questions n answers graded A+ already passed
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BSN425 Exam 1 critical Care Questionsn answers graded A+ already passed
Which of the following patients is MOST likely to be experiencing delirium? Group of answer choices
A 94-year-old female who answered "September 5" instead of "September 15" when asked what day it is
A 34-year-old male diagnosed with a right femur fracture who is talking in his sleep after receiving 1mg
of Dilaudid IV
An 81 year old male who was alert and oriented x4 yesterday, but appears upset with you today . He is
convinced you are the city police and that you are trying to take him back to jail.
A 79 year old female admitted with a GI bleed who you cared for yesterday that does not remember
your name. She also thought it was 8pm instead of 8am before you brought in her breakfast tray. -
correct answer ✔✔An 81 year old male who was alert and oriented x4 yesterday, but appears upset with
you today . He is convinced you are the city police and that you are trying to take him back to jail.
Which of the following could be appropriate nursing interventions for the patient experiencing delirium?
(Select all that apply)
Frequently orient the patient
Monitor for potential risk factors such as dehydration, constipation, or pain
Ensure the patient always has an indwelling urinary catheter to reduce incontinence
Ensure the patient has any devices in place such as glasses or hearing aids
, Wake the patient up frequently during the night to remind the patient of where he/she is
Provide the patient with puzzles, washcloths to fold, or a coloring book - correct answer ✔✔Frequently
orient the patient
Monitor for potential risk factors such as dehydration, constipation, or pain
Ensure the patient has any devices in place such as glasses or hearing aids
Provide the patient with puzzles, washcloths to fold, or a coloring book
Which of the following is an appropriate assessment tool for delirium in the ICU? Group of answer
choices
Ramsey Scale
RAAS
CPOT
CAM-ICU - correct answer ✔✔CAM-ICU
Which of the following is true about pharmacologic management of delirium? Group of answer choices
Most sedatives are not associated with delirium in ICU patients
Benzodiasepines and narcotics may actually worsen a patient's cognition rather than treat delirium
One of the risk factors of Haloperidol is a shortened QT interval
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