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A patient has been in the intensive care unit for 10 days. He has just been moved to the medical-surgical unit, and the admitting nurse

is planning to perform a mental status examination on him. During the tests of cognitive function the nurse would expect that he:

a. may display some disruption in thought content
b. will state " I am so relieved to be out of intensive care"
c. will be oriented to place and person but may not be certain of the date
d. may show evidence of come clouding of his level of consciousness

1 Answer

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Final answer:

A patient who has been in the ICU for a long period may experience cognitive deficits upon mental status examination, including disruptions in thought content, altered orientation to time, and some degree of consciousness clouding due to the effects of hospital delirium or ICU syndrome.

Step-by-step explanation:

When a patient who has been in the intensive care unit for an extended period is moved to a medical-surgical unit and undergoes a mental status examination, we might expect to find certain changes or deficits in their cognitive functions. Specifically, it is not uncommon for such a patient to experience disruptions in thought content, orientation to time and place, or even some degree of consciousness clouding. This is because prolonged hospital stays, particularly in intensive care settings, can lead to a condition often referred to as hospital delirium or ICU syndrome, where patients may exhibit confusion, reduced attention span, and impaired cognition. The patient may be oriented to person and place but could display uncertainty about the date due to a disrupted routine and lack of external cues. Some clouding of consciousness, which involves a mild reduction in wakefulness or awareness, could also be noticeable.

User Simon Legg
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