A 75-year-old client was admitted to the hospital after having sustained a fall at home.She is diagnosed with a right hip fracture and is scheduled for surgery in the morning.At 2:30 AM she awakens from sleep with confusion about where she is.She insists that her daughter is in the other room and wants to see her.You attempt to reorient her to the surroundings with little success.She continues to insist that her daughter is in the next room.In reviewing the client's record,what data would be considered a source of her confusion?
A) Pain medication received
B) Death of the client's husband last month
C) The client's age
D) History of cardiac disease

Question

Quizplus · Accepted Answer

Certain medications,such as sleeping pills,tranquilizers,and pain medications,can lead to an altered mental status in older adults.Medications are a frequent cause of delirium in older persons.Therefore the client's medication must be reviewed to determine the effects of drugs and cognitive changes.Although loss of a loved one may result in depression,it is unlikely to be the source of confusion.Age alone does not cause confusion.Cardiac disease alone would not cause confusion.

A 75-Year-Old Client Was Admitted to the Hospital After Having