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Question
A nurse is caring for an 80-year-old Alzheimer's patient who has begun to experience changes in sleep patterns, with increased agitation and confusion in the evenings. The patient has difficulty recognizing her surroundings and frequently wanders at night. Considering these symptoms, what is the most likely phenomenon the patient is experiencing, and how should the nurse manage it? Sundowning; enhance environmental lighting and establish a consistent evening routine. Depression; refer the patient for psychiatric evaluation and possible medication. Delirium; perform an immediate assessment for infection or other medical causes. End-stage dementia; focus on comfort measures and prepare the family for end-of-life care.
HT was given methylprednisolone IV x1 in the ED and started on oral corticosteroids. His symptoms are improving slowly.
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This case describes an issue faced by many hospitals and health systems that witness clients from various cultural and ethnic backgrounds.
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