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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. The client's symptoms, including paranoia, perceptual disturbances (such as seeing things that aren't there), erratic behavior, and disorientation, are consistent with the effects of hallucinogens. Hallucinogens are a class of drugs that alter perception, mood, and cognitive processes.
A. Anabolic steroids are synthetic variations of the male sex hormone testosterone. They are primarily used to promote muscle growth and enhance athletic performance.
B Opioids are a class of drugs that include prescription pain relievers, such as oxycodone and morphine, as well as illegal drugs like heroin.
C. Stimulants, such as cocaine and amphetamines, can cause symptoms such as paranoia, agitation, and hallucinations, particularly at high doses or with chronic use. However, the client's symptoms of darting eyes, paranoia, yelling, mumbling, and gesturing are more suggestive of hallucinogen use rather than stimulant use.
Correct Answer is B
Explanation
B. By reinforcing the importance of recognizing discrimination in vulnerable populations with staff, healthcare organizations can promote awareness, sensitivity, and understanding among healthcare providers.
A. Updating client charts to reflect socioeconomic status may be important for understanding the social determinants of health but does not directly address healthcare disparities among vulnerable groups.
C. Compiling a list of resources does not directly translate to availability of the resources to all members of the community.
D. Addressing healthcare disparities among vulnerable groups often requires a more comprehensive approach that considers factors beyond medication affordability.
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