A 68-year-old patient who is hospitalized with pneumonia is ...

[tnt_battle]

A 68-year-old patient who is hospitalized with pneumonia is disoriented and confused 3 days after admission. Which information indicates that the patient is experiencing delirium rather than dementia?
 
  a. The patient was oriented and alert when admitted.
  b. The patient's speech is fragmented and incoherent.
  c. The patient is oriented to person but disoriented to place and time.
  d. The patient has a history of increasing confusion over several years.

Question 2

A patient who is having an acute exacerbation of multiple sclerosis has a prescription for methylprednisolone (Solu-Medrol) 160 mg IV. The label on the vial reads: methylprednisolone 125 mg in 2 mL. How many mL will the nurse administer?
 
  What will be an ideal response?

[Ahernandez18]

Answer to Question 1

ANS: A
The onset of delirium occurs acutely. The degree of disorientation does not differentiate between delirium and dementia. Increasing confusion for several years is consistent with dementia. Fragmented and incoherent speech may occur with either delirium or dementia.

Answer to Question 2

ANS:
2.56
With a concentration of 125 mg/2 mL, the nurse will need to administer 2.56 mL to obtain 160 mg of methylprednisolone.