Author Question: When differentiating the characteristics of depression, delirium, and dementia, the nurse recognized ... (Read 33 times)

evelyn o bentley · **on:** Jul 11, 2018

When differentiating the characteristics of depression, delirium, and dementia, the nurse recognized which of the following as an indicator of delirium?

a. Sudden onset c. Insidious
b. Recent loss d. Life change

Question 2

A patient receives heparin daily. The nurse should assess for which clinical response that indicates the need to discontinue heparin therapy?

a. International normalized ratio (INR) of 2.5
b. Platelet count of 150,000/mm3
c. Reflux
d. Hematuria

jesse.fleming · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A
Delirium can occur suddenly. Recent loss or life changes can precipitate depression. Dementia can be insidious, slow, and occur over the course of several years.

Answer to Question 2

D
Hematuria is a serious side effect and requires temporary discontinuation of heparin therapy. A low platelet count can occur in a small percentage of patients who are receiving heparin therapy, which often resolves without intervention. The INR value is obtained to assess the effectiveness of warfarin therapy, not heparin. Heparin is administered parenterally, not by mouth, thus de-creasing the risk for irritation.