D ELIRIUM M ANAGEMENT
Urden: Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. Which medication is used for sedation in patients experiencing withdrawal
s yndrome?
a. Dexmedetomidine
b. Hydromorphone
c. Diazepam
d. Clonidine
ANS: D
Clonidine (often prescribed as a Catapres patch) is a central α -agonist
and is recommended for sedation during withdrawal syndrome.
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 140
OBJ: Nursing Process Step: Intervention TOP:
Sedation, Agitation, and Delirium: Assessment and Management
MSC: NC LEX: Physiologic Integrit y
2. A patient was admitted 5 days ago and has just been weaned from
mechanical ventilation. The patient suddenl y becomes confused, seeing
, nonexistent animals in the room and pulling a t the bedding. The nurse
suspects the patient may be experiencing what issue?
a. Delirium
b. Hypoxemia
c. Hypocalcemia
d. Sedation withdrawal
ANS: A
Delirium is represented by a global impairment of cognitive processes,
usuall y of sudden onset, coupled with disorien tation, impaired short -
term memory, altered sensory perceptions (hallucinations), abnormal
thought processes, and inappropriate behavior. There is no evidence
provided that would indicate the patient is hypoxemic, hypocalcemic,
or going through sedation wi thdrawal.
PTS: 1 DIF: Cognitive Level: Understanding REF: p.
141 OBJ: Nursing Process Step: Diagnosis TOP: Sedation,
Agitation, and Delirium: Assessment and Management MSC:
NCLEX: Physiologic Integrit y
3. A patient was admitted 5 days ago and has just been weaned from
mechanical ventilation. The patient suddenl y becomes confused, seeing
nonexistent animals in the room and pulling at the bedding. What is the
medication of choice for treating this patient?
a. Diazepam
b. Haloperidol
c. Lorazepam
d. Propofol