Fundamentals of Nursing, 9e
Fundamentals of Nursing, 9e
9th Edition
ISBN: 9780323327404
Author: 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 CNE
Publisher: Elsevier Science
bartleby

Concept explainers

bartleby

Videos

Question
Book Icon
Chapter 14, Problem 1CAQ
Summary Introduction

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.

Expert Solution & Answer
Check Mark

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.

Conclusion

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?

Subscribe now to access step-by-step solutions to millions of textbook problems written by subject matter experts!
Knowledge Booster
Background pattern image
Nursing
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, nursing and related others by exploring similar questions and additional content below.
Recommended textbooks for you
Text book image
Phlebotomy Essentials
Nursing
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:JONES+BARTLETT PUBLISHERS, INC.
Text book image
Gould's Pathophysiology for the Health Profession...
Nursing
ISBN:9780323414425
Author:Robert J Hubert BS
Publisher:Saunders
Text book image
Fundamentals Of Nursing
Nursing
ISBN:9781496362179
Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:Wolters Kluwer,
Text book image
Fundamentals of Nursing, 9e
Nursing
ISBN:9780323327404
Author: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 CNE
Publisher:Elsevier Science
Text book image
Study Guide for Gould's Pathophysiology for the H...
Nursing
ISBN:9780323414142
Author:Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:Saunders
Text book image
Issues and Ethics in the Helping Professions (Min...
Nursing
ISBN:9781337406291
Author:Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:Cengage Learning
The Psychology of Violent Behaviour; Author: Simon Fraser University;https://www.youtube.com/watch?v=iTdqo_7_qLE;License: Standard Youtube License