A home nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan monitor?
Hemoglobin and hematocrit
Liver function tests
Kidney function tests
Serum sodium and potassium
The Correct Answer is D
A. Hemoglobin and hematocrit are important but not the focus in Alzheimer’s care unless anemia is suspected.
B. Liver function tests are not typically monitored unless the client is on hepatotoxic medications.
C. Kidney function tests are essential if there are concerns about hydration or medication clearance but are not routine in Alzheimer's care.
D. Monitoring serum sodium and potassium is critical as imbalances can lead to confusion, agitation, and worsening cognitive symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
Easier to breathe and less short of breath: The client reports improvement in breathing, stating it is easier to breathe and they are less short of breath. This suggests that the respiratory status is improving, which is a key indicator of progress.
Lung sounds still diminished with crackles, but no wheezes detected: While lung sounds are still diminished and crackles remain, the absence of wheezes indicates that the client’s condition is stabilizing. Wheezing would be concerning for bronchospasm or worsening respiratory distress, so the absence of this finding is a positive development.
Oxygen saturation 92%: The client’s oxygen saturation has improved from 88% on room air (Day 1) to 92% on 1 L/min of oxygen. Although still slightly below the target of 94%–98%, this improvement is a sign that oxygenation is improving with the current treatment.
Pleuritic chest pain reduced to 3/10: The client's report of pleuritic chest pain has decreased from 6/10 to 3/10. This reduction in pain indicates a positive response to treatment and the improvement of the underlying infection.
Increased oral intake (drinking 2 L/day): The client is drinking 2 L of fluids per day, which indicates adequate hydration and may help with recovery, particularly in the context of respiratory and infection management.
Normal urine output (200 mL of clear yellow urine): The client’s urine output appears adequate, and the urine is clear and yellow, which suggests proper hydration and normal renal function, supporting overall recovery.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Explanation
- Memantine: This medication is commonly used to treat cognitive symptoms associated with Alzheimer's disease and other forms of dementia, which can include memory loss, confusion, and difficulty with daily tasks.
- Cognitive changes: The client's symptoms of getting lost, difficulty speaking, and misplacing things suggest significant cognitive decline, which memantine can help manage.
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