Question

1. The gerontological nurse knows that in evaluating the plan of care for an older adult with the nursing diagnosis of risk for injury related to delirium, which of the following evaluator statements best suggests a resolution of the problem?

A.   Client attempted to climb over the side rails.

B.    Client correctly stated the year and month but not the date.

C.    Client manipulated intravenous pump, stating, “I can’t get this transformer to work.”

D.   Client stated, “If we don’t hurry, I’ll miss the bus.”

2. Identify precipitating factors for delirium that the gerontological nurse should be aware of to prevent serious consequences in the older adult.

Answer 1

Option (b) is correct

Explanation-Delerium is the condition in which serious disturbance are happened in mental abilities that results in confused thinking and reduced awareness of thinking. There are some precipitating factors that are take care by the nurse -ageing ,co-morbid illnesses, high risk medication use, immiboility,diminished daily activity. Option B- "client correctly stated the year and month but not the date "is best suggest a resolution of the problem because delerium is a reversible cognitive disorder in which patient is in confused about time and place .In this statement patient is able to stated at least year and month .

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