The nurse reviews laboratory data and determines that a client ...

[darbym82]

The nurse reviews laboratory data and determines that a client has toxic dementia based upon which result?
 
  1. Positive culture of streptococcus of the throat
  2. Low serum calcium
  3. A vitamin B12 deficiency
  4. A high blood sugar

Question 2

The nurse is questioning an older client for changes indicating a disorder of cognition. The nurse should suspect that the client may need further testing if the client:
 
  1. has forgotten how to use the phone.
  2. keeps making mistakes when balancing the checkbook.
  3. cannot tie shoes due to arthritis.
  4. forgot the doctor's name.

[xoxo123]

Answer to Question 1

Answer: 3

1. Infections that can cause dementia include meningitis, AIDS, and neurosyphilis. In the elderly, strep could cause delirium.
2. Hypercalcemia can cause dementia.
3. A vitamin B12 deficiency can cause dementia.
4. A low blood sugar can cause dementia; a high blood sugar can cause delirium.

Answer to Question 2

Answer: 1

1. Forgetting how to use the phone indicates declarative memory loss which could indicate cognitive impairment.
2. Making mistakes balancing the checkbook is an example of normal memory loss.
3. The client's reason for not tying shoes is a physical reason and is not cognitive impairment.
4. Forgetting the doctor's name is simple normal memory loss.