A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?
Encourage physical activity prior to bedtime
Wear clothing with zippers instead of buttons.
Replace the carpet with hardwood floors
Place locks at the tops of exterior doors.
The Correct Answer is D
Rationale:
A. Encourage physical activity prior to bedtime: Stimulating activity close to bedtime can increase agitation and make it harder for clients with Alzheimer’s disease to settle for sleep. Calming routines in the evening are more appropriate to reduce nighttime confusion and restlessness.
B. Wear clothing with zippers instead of buttons: Although zippers are often easier than buttons, clients with Alzheimer’s may have difficulty with any fasteners. Simple clothing with Velcro or elastic waists is typically more suitable to promote independence.
C. Replace the carpet with hardwood floors: Carpets provide traction and cushioning, which can help prevent injuries from falls. Hardwood floors may be slippery or cause confusion due to glare or unfamiliar patterns, increasing fall risk.
D. Place locks at the tops of exterior doors: Clients with Alzheimer’s are at risk for wandering. Installing locks at the tops of doors—out of the client's usual line of sight—helps prevent elopement while preserving safety in the home environment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. A 25-gauge needle: A 25-gauge needle is too small and not designed for accessing implanted ports. Using such a needle may cause damage to the port septum and does not ensure reliable blood flow or medication administration.
B. An angiocatheter: Angiocatheters are used for peripheral venous access and are not suitable for accessing implanted ports. Their sharp tips can damage the septum of the port and compromise its integrity.
C. A butterfly needle: Butterfly needles are designed for short-term peripheral access. They are not appropriate for implanted ports and can damage the port’s self-sealing septum, leading to malfunction.
D. A noncoring needle: Noncoring (Huber) needles are specifically designed for accessing implanted venous ports. Their curved tip prevents coring of the port septum, reducing damage and maintaining the port’s function and sterility.
Correct Answer is B
Explanation
Rationale:
A. Chlordiazepoxide: Chlordiazepoxide is a benzodiazepine used primarily to manage alcohol withdrawal symptoms. It has no direct role in smoking cessation and is not commonly prescribed for nicotine dependence.
B. Bupropion: Bupropion is an atypical antidepressant approved for smoking cessation. It reduces nicotine cravings and withdrawal symptoms by acting on the brain’s norepinephrine and dopamine pathways, making it an effective choice for clients trying to quit.
C. Naltrexone: Naltrexone is an opioid antagonist used to treat opioid and alcohol dependence. It does not target nicotine addiction and is not indicated for smoking cessation therapy.
D. Clonidine: Clonidine is occasionally used off-label to manage withdrawal symptoms, including those from nicotine. However, it is not a first-line medication for smoking cessation and is less commonly prescribed for this purpose.
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