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A client is admitted to an inpatient unit with a diagnosis of frontotemporal dementia. Which of the following aspects of a medical history would the nurse expect to see with this client? (Select All that Apply.)

Changes to behavior and personality

Past history of head trauma

Impaired judgment

Muscle stiffness and shuffling gait

Diagnosis of hypertension

Answer and Explanation

Correct Answer : A,C,D

Choices A, C, and D: Changes to behavior and personality, Impaired judgment, Muscle stiffness and shuffling gait.

Choice A Reason:

Changes to behavior and personality are hallmark symptoms of frontotemporal dementia (FTD). This condition primarily affects the frontal and temporal lobes of the brain, which are responsible for behavior, personality, and language. Patients often exhibit socially inappropriate behaviors, apathy, and a decline in personal hygiene. These changes are among the earliest and most noticeable symptoms of FTD.

Choice B Reason:

While a past history of head trauma can be a risk factor for various types of dementia, it is not specifically associated with frontotemporal dementia. FTD is more commonly linked to genetic factors and specific protein abnormalities in the brain. Therefore, a history of head trauma is not a typical aspect of the medical history for FTD patients.

Choice C Reason:

Impaired judgment is a common symptom of frontotemporal dementia. The degeneration of the frontal lobes affects executive functions, including decision-making, problem-solving, and judgment. Patients may make poor decisions, exhibit risky behaviors, and have difficulty understanding the consequences of their actions.

Choice D Reason:

Muscle stiffness and a shuffling gait can occur in some forms of frontotemporal dementia, particularly in cases where the condition overlaps with motor neuron disease or Parkinsonism. These physical symptoms are less common than behavioral and cognitive symptoms but can still be present in some patients.

Choice E Reason:

A diagnosis of hypertension is not specifically related to frontotemporal dementia. While hypertension is a common condition that can coexist with any form of dementia, it is not a characteristic feature of FTD. The primary symptoms of FTD are related to changes in behavior, personality, and cognitive functions rather than vascular issues.

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Correct Answer is ["0.5"]

Explanation

Step 1: Identify the available concentration of fentanyl.

The ampule contains 100 micrograms of fentanyl in 2 mL.

Step 2: Determine the dose required.

The nurse needs to give 25 micrograms of fentanyl.

Step 3: Calculate the volume (mL) needed for the required dose.

Use the formula: (Dose required ÷ Dose available) × Volume of available dose.

Step 4: Substitute the values into the formula.

(25 micrograms ÷ 100 micrograms) × 2 mL

Step 5: Perform the division.

25 micrograms ÷ 100 micrograms = 0.25

Step 6: Perform the multiplication.

0.25 × 2 mL = 0.5 mL

Result: The nurse will give 0.5 mL for the correct dose.

Final Answer: 0.5 mL

A. Acupuncture B. Surgical procedures C. Spinal manipulation D. Prescription medications

Correct Answer is C

Explanation

Choice A Reason:

Acupuncture.

Acupuncture is a traditional Chinese medicine practice that involves inserting thin needles into specific points on the body to balance energy flow and promote healing. While it is a form of manual therapy, it is not part of chiropractic medicine. Chiropractors focus on the musculoskeletal system, particularly the spine, and do not typically use acupuncture as a primary treatment modality.

Choice B Reason:

Surgical procedures.

Surgical procedures are not part of chiropractic medicine. Chiropractors are not licensed to perform surgeries. Their practice is centered around non-invasive treatments, primarily involving manual adjustments and manipulations of the spine and other joints. Surgery is outside the scope of chiropractic care and is typically handled by medical doctors or surgeons.

Choice C Reason:

Spinal manipulation.

This is the correct response. Spinal manipulation, also known as chiropractic adjustment, is a core component of chiropractic medicine. Chiropractors use their hands or specialized instruments to apply controlled force to spinal joints, aiming to improve spinal alignment, reduce pain, and enhance physical function. This technique is fundamental to chiropractic care and distinguishes it from other forms of manual therapy.

Choice D Reason:

Prescription medications.

Prescription medications are not part of chiropractic medicine. Chiropractors do not prescribe medications; instead, they focus on manual therapies, exercise, and lifestyle counseling to manage and prevent musculoskeletal issues. The use of medications is typically managed by medical doctors or other healthcare providers.

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A client is admitted to an inpatient unit with a diagnosis of frontotemporal dementia. Which of the following aspects of a medical history would the nurse expect to see with this client? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse must give 25 micrograms of fentanyl IVP X1 dose. Fentanyl is available in an ampule 100 micrograms per 2m How many mL will the nurse give for the correct dose? round to the nearest tenth. Use a preceding zero if necessary. Do not use trailing zeros.

Correct Answer is ["0.5"]

Explanation

A nurse is teaching a class about manual therapies. The nurse should include that which of the following treatments is part of chiropractic medicine?

Correct Answer is C

Explanation

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