Answered: CASE SCENARIO #2 – The Client with…

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter39: Phlebotomy

Section: Chapter Questions

Problem 39.2CS

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CASE SCENARIO #2 – The Client with Cognitive Disorder (Delirium) Meredith, who is 75 years old, and frail is admitted to the hospital with a fractured hip. She undergoes surgery to repair the hip and subsequently is sent to a general surgical unit. She appears alert and oriented, although she is in pain. She is receiving intravenous fluids and has an indwelling urinary catheter, both of which are to be discontinued in the morning. The evening of the first postoperative day, Meredith tells the nurse that bugs are on the walls and that she wants to leave this place. The nurse questions her and records that Meredith is no longer oriented to place or time: she also is having visual hallucinations. During the questioning, Meredith becomes mildly agitated and tells the nurse to get out. The nurse notifies the physician of the change in Meredith’s mental status. The physician orders CT Scanning to rule out a possible injury sustained in the initial fall. He also orders chest radiography and a urine culture to rule out infections. Results of the CT scan and chest radiography are normal; however, the urine culture reveals a UTI. The physician prescribes antibiotics to treat the infection and haloperidol as needed to treat the agitation. What is delirium? What is the frequent cause of delirium in older adults? RATIONALE:

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