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 B
Explanation
A. The client takes furosemide twice daily: There is no direct contraindication between furosemide and lavender oil.
B. Lavender oil, especially in aromatherapy, can trigger respiratory issues in some individuals, particularly those with asthma. Essential oils can act as irritants and exacerbate bronchospasms, potentially leading to wheezing, coughing, or an asthma attack. Therefore, the nurse should advise caution when using lavender oil in clients with a history of asthma.
C. The client takes vitamin C daily: There is no significant interaction between lavender oil and vitamin C.
D. While lavender has mild sedative properties, it is not a direct contraindication for clients with a history of alcohol use disorder. However, excessive use of lavender could enhance CNS depression when combined with alcohol, so it should be used with caution.
Correct Answer is ["A","D","E"]
Explanation
A. COPD: Clients with chronic obstructive pulmonary disease (COPD) are at increased risk for pneumonia due to compromised lung function, chronic inflammation, and decreased mucociliary clearance, making it easier for pathogens to infect the lungs.
B. Hypertension: While hypertension is a significant cardiovascular risk factor, it does not directly increase the risk of pneumonia. Therefore, it is not a relevant factor in this case.
C. Dermatitis: Dermatitis is a skin condition and does not affect lung function or immunity in a way that would increase the risk of pneumonia.
D. Smoking history: Smoking damages the respiratory epithelium and impairs the immune defenses of the lungs, making smokers more susceptible to respiratory infections such as pneumonia.
E. Type 2 diabetes mellitus: Diabetes compromises immune function and increases the risk of infections, including pneumonia, due to hyperglycemia impairing neutrophil function and other immune responses.
F. Hypothyroidism: While hypothyroidism may cause some general symptoms such as fatigue, it does not directly compromise respiratory function or immunity in a way that increases the risk of pneumonia.
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