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.
Replace the carpet with hardwood floors.
Wear clothing with zippers instead of buttons.
Place locks at the tops of exterior doors.
The Correct Answer is D
A. Physical activity should be scheduled earlier in the day to prevent overstimulation and promote restful sleep.
B. Hardwood floors increase the risk of falls; carpets provide better traction and cushioning.
C. Zippers can be difficult for clients with Alzheimer's; clothing with Velcro or simple fasteners is preferred.
D. Placing locks at the tops of doors reduces the risk of wandering, a common safety concern in clients with Alzheimer's.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
A. Varicella (chickenpox) requires airborne, not droplet, precautions.
B. Aspirin is contraindicated in children with viral illnesses due to the risk of Reye's syndrome.
C. A negative air pressure room is necessary to prevent the airborne spread of varicella.
D. Koplik spots are associated with measles, not varicella.
Correct Answer is C
Explanation
A. The risk of overdose is minimized by the device's programming.
B. The medication is limited based on a preset dose and frequency.
C. PCA pumps deliver a controlled dose of medication, preventing overdose by limiting the amount dispensed.
D. Only the client should press the button to ensure safety.
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