VATI ATI Comprehensive Predictor 2023 | Nurselytic

Questions 177

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VATI ATI Comprehensive Predictor 2023 Questions

Extract:

Admission assessment
History and Physical
Day1 1000:
An 88-year-old client was transferred to the ICU after they developed fever and hypotension.
The client was initially admitted 4 days ago with a left hip fracture and subsequently underwent total left hip replacement. The client is alert and oriented to person, place, and time. The client's partner is at the bedside.


Question 1 of 5

The nurse identifies that the client's and can indicate the development of delirium.

Correct Answer: C,D

Rationale: The correct answer is C, hallucinations, and D, changes in orientation. Hallucinations and changes in orientation are common signs of delirium, a state of confusion and disorientation. Hallucinations involve perceiving things that are not real, while changes in orientation refer to confusion regarding time, place, or person. These symptoms signal a disturbance in cognitive function and are key indicators of delirium.

Choices A, illusions, involve misinterpretation of real stimuli and are not specific to delirium.
Choice B, past medical history, is important for understanding a client's background but does not directly indicate the development of delirium.

Extract:


Question 2 of 5

Correct Answer:

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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