A nurse is admitting a client who has dementia related to a traumatic brain injury. Which of the following findings should indicate to the nurse that the client's condition is worsening?

Visual field cuts

Decreased CD4 counts

Shuffling gait

Chorea

Answer and Explanation

The Correct Answer is C

C. Dementia related to a traumatic brain injury can result in a variety of cognitive and physical impairments. A shuffling gait, characterized by short steps with feet barely leaving the ground, is often associated with Parkinsonian symptoms, which can occur in advanced stages of dementia or as the condition progresses. Therefore, a shuffling gait would indicate worsening of the client's condition.

A. While visual disturbance can occur in individuals with dementia, visual field cuts alone may not necessarily indicate worsening of the condition unless they are accompanied by other concerning symptoms.

B. CD4 counts are a measure of immune system function, particularly in relation to HIV/AIDS. Decreased CD4 counts are not typically associated with dementia related to traumatic brain injury and would not be a relevant finding in this context.

D. Chorea is not a common feature of dementia related to traumatic brain injury. The presence of chorea may indicate a different underlying neurological condition or complication

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Correct Answer is C

Explanation

C. Methamphetamine use can lead to vasoconstriction and increased blood pressure, which significantly elevate the risk of cardiovascular complications such as heart disease and stroke. The drug's stimulant effects can cause persistent high blood pressure, irregular heart rhythms, inflammation of blood vessels, and damage to the heart muscle.

A, B, D- Methamphetamine have no direct effect on bones health, brain, liver or the pancreas

A. Identify emotion of faces on cards B. Repeat a list of words C. Interpret a sequence of pictures D. Imitate gestures of learned movements

Correct Answer is A

Explanation

A. Social cognition refers to the ability to understand and interpret social cues, including emotions, intentions, and interpersonal interactions. Asking the client to identify emotions on faces depicted on cards assesses their ability to recognize and interpret facial expressions, which is a fundamental aspect of social cognition.

B. Repeating a list of words primarily assesses verbal memory and recall, which may be impaired in dementia but does not specifically target social cognition.

C. Interpreting a sequence of pictures may assess aspects of visual processing, memory, and problem-solving abilities but does not specifically target social cognition.

D. Imitating gestures of learned movements may assess motor skills and imitation abilities but does not specifically target social cognition.

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A nurse is admitting a client who has dementia related to a traumatic brain injury. Which of the following findings should indicate to the nurse that the client's condition is worsening?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identity that the client is at high risk for developing which of the following conditions?

Correct Answer is C

Explanation

A nurse is caring for a client who has dementia. Which of the following requests should the nurse make to determine the client's social cognition?

Correct Answer is A

Explanation

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