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
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}
Explanation
|
Potential prescription |
Anticipated |
Contraindicated |
|
Bupropion 100 mg PO three times daily |
✓ |
|
|
Levomilnacipran 20 mg PO daily |
✓ |
|
|
Citalopram 20 mg PO daily |
✓ |
|
|
Fluoxetine 20 mg PO daily |
✓ |
Rationale
- Bupropion 100 mg PO three times daily: Contraindicated
- Bupropion is generally contraindicated for clients with a history of bulimia nervosa due to the increased risk of seizures.
- Levomilnacipran 20 mg PO daily: Anticipated
- Levomilnacipran is an SNRI that can be used to treat major depressive disorder and is generally safe for clients with bulimia nervosa.
- Citalopram 20 mg PO daily: Anticipated
- Citalopram is an SSRI commonly used to treat major depressive disorder and can be effective for clients with bulimia nervosa.
- Fluoxetine 20 mg PO daily: Anticipated
- Fluoxetine is an SSRI that is effective in treating both major depressive disorder and bulimia nervosa.
Correct Answer is C
Explanation
A. Take your temperature every night before going to bed: Nighttime readings are not basal body temperatures.
B. Take your temperature 1 hour after getting out of bed: This does not reflect the true basal temperature.
C. Take your temperature immediately after waking and before getting out of bed: This ensures an accurate basal temperature, as any activity can alter the reading.
D. Take your temperature within 30 minutes after your first morning void: BBT should be measured before any activity, including voiding.
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