Concept explainers
To identify:
The conditions prompt during the assessment to suspect that the patient has delirium.
Case summary:
Mrs. K is an 81-year-old woman admitted to the hospital for an emergency hip pinning surgery for her hip fracture followed by a fall at her home. She also had other medical problems such as hypothyroidism, hypertension, and anxiety disorders for which she is also taking medications. In the past, she had bilateral knee replacements. She is active and independent living, retired bookkeeper. She drives, plays cards with her friends and also participates in the church activities. She wears glasses and uses a cane.
Mrs. K’s postoperative medical report showed that she is been receiving opioids for pain and has intravenous fluids for hydration. She has an indwelling urinary catheter. The nurse reported that Mrs. K was restless and slept only a little all night. Her pain medications did not help her to sleep. The nurse while entering Mrs. K’s room found that she is picking at the air as she was trying to eat the breakfast and she is founded to be self-orienting. During the shift assessment, the nurse recognizes the signs of delirium in Mrs. K.
Explanation of Solution
The orientation status and the condition of the distraction of not being able to eat prompted to the suspicion of delirium in Mrs. K.
Delirium is a state of mind that is characterized by incoherence, fever, restlessness, agitations, hallucinations, task distractions, and illusions. Mrs. K was found to be restless and was unable to sleep in the night after the surgery. The status of her orientation has also changed after the surgery. She is found to be not in a control and her distraction during eating is the typical assessment of delirium. The occurrence of urinary tract infections due to the indwelling catheter might also cause delirium.
The conditions that prompt to suspect that Mrs. K has delirium are her disorientation status and distracted behavior while having food.
Want to see more full solutions like this?
Chapter 14 Solutions
Fundamentals of Nursing, 9e
- Don't give AI generated solution otherwise I will give you downward Correct answer with explanationarrow_forwardHello, Using the next webside, can you please help me to answer next question? If practice as a nurse in Indonesia. What insights do you have after taking a Microbiology class? How could you apply the knowledge you have gained in this course to address the healthcare needs of this country's population? Are there any specific infections or infectious diseases that are prevalent in this country? www.who.int/gho/countries/en/ Thank you in advance!arrow_forwardDon't give AI generated solution otherwise I will give you downward Sophia, a 3-week-old infant, is brought to the pediatrician by her parents with concerns about feeding difficulties and persistent constipation since birth. The parents report that Sophia has never passed a stool without the aid of laxatives, and when she does, the stool is small, hard, and infrequent. They also note abdominal distension and occasional vomiting after feeds. Sophia is referred to a pediatric surgeon for a rectal biopsy that reveals the absence of ganglion cells in the affected segment of the rectum. What complex disorder does Sophia suffer from? Group of answer choices Hypothyroidism Hirschprung disease Anorectal malformation Small colon syndrome Give correct typing answer with explanationarrow_forward
- Don't give AI generated solution otherwise I will give you downwardarrow_forwardWrite on Hyponatraemia using the following guidelines: • Introduction/Definitions • Causes • Pathophysiology • Clinical Manifestations • Assessment and investigations required • Medical Management • Preventive Measures • Nursing management with the use of nursing processes and nursing diagnoses.arrow_forwardDon't give AI generated solution otherwise I will give you downward Explain how inclusive practice and cultures promote equality, diversity, inclusion and human rights [ please explain in paragraph] Give Correct typing answer with explanationarrow_forward
- Medical marijuana explain how it relates to health policy. Discuss how changes in policy could reduce the impact or risk to communities within the context of the issue selected.arrow_forwardHello, Can you please tell me what would be a take-away and how it can be applied to my practice as a nurse from the next video about hospiece? https://vimeo.com/234538482 Thank you in advance!arrow_forwardHello, Can you please help me to explain how palliative care could be helpful to Jose’s family in the situation you learned about (fron the next video). https://vimeo.com/236175107 Thank you in advance!arrow_forward
- Hello, Watching the next video, and considering developmental level, what communication techniques could you use when Jose says, “sometimes I cry…”? What might you say? https://vimeo.com/236175107 Thank you in advance!arrow_forwardHello, Can you please tell me what would be a take-away and how it can be applied to my practice as a nurse from the next video about hospiece? https://vimeo.com/236003578 Thank you in advance!arrow_forwardHello, Can you please tell me what would be a take-away and how it can be applied to my practice as a nurse from the next video about hospiece? https://vimeo.com/236223350 Thank you in advance!arrow_forward
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:SaundersFundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning