A nurse is assisting with the plan of care for a client who has Alzheimer's disease. Which of the following actions should the nurse recommend for the plan of care?

Encourage the client to talk about current events.

Give directions using simple phrases.

Orient the client to time and place twice per day.

Rotate assistive personnel to help the client with ADLs.

Answer and Explanation

The Correct Answer is B

A.   Encouraging the client to talk about current events may not be effective, as individuals with Alzheimer's disease may have difficulty following complex conversations or remembering recent events.
B.   Giving directions using simple phrases is essential for effective communication with individuals who have Alzheimer's disease. Using clear, concise language helps reduce confusion and frustration and improves the client's ability to understand and follow instructions.
C.   Orienting the client to time and place twice per day can be helpful for some individuals with Alzheimer's disease, but the frequency and method of orientation may vary depending on the client's specific needs and preferences. It may not be necessary to orient the client twice per day in all cases.
D.   While it's important to provide consistent care to clients with Alzheimer's disease, rotating assistive personnel frequently may lead to confusion and distress for the client. Consistency and familiarity with caregivers can help establish trust and improve the client's sense of security.

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Correct Answer is A

Explanation

A. Correct. Neostigmine is an acetylcholinesterase inhibitor that improves muscle strength by increasing the availability of acetylcholine at the neuromuscular junction, thereby enhancing muscle contraction.
B. Incorrect. Neostigmine does not destroy the antibodies that cause MG. MG is an autoimmune disorder characterized by antibodies that block or destroy acetylcholine receptors, leading to muscle weakness.
C. Incorrect. Neostigmine does not enhance immune system function. It works specifically on the neuromuscular junction to improve muscle strength in MG.
D. Incorrect. While neostigmine may indirectly help prevent excessive coughing by improving respiratory muscle strength in clients with MG, preventing coughing is not its primary action.

A. The client's foot feels cooler than in the previous assessment. B. The client's pedal pulse in the right foot is not palpable. C. The client's capillary refill time is 5 seconds in the toes. D. The client reports a pain level of 8 on a scale from 0 to 10.

Correct Answer is B

Explanation

A. While a cooler foot than in the previous assessment may indicate decreased perfusion, the absence of a palpable pedal pulse is a more significant finding as it suggests compromised arterial blood flow to the foot.
B. The absence of a palpable pedal pulse indicates diminished arterial blood flow to the foot, which is a critical finding following a femoropopliteal bypass graft. It suggests potential complications such as graft occlusion or inadequate blood flow distal to the graft site.
C. Capillary refill time of 5 seconds in the toes may indicate delayed capillary refill, which could be a concern but is not as immediately critical as the absence of a palpable pedal pulse.

D. While pain is an important assessment finding, a pain level of 8 on a scale from 0 to 10 is subjective and does not provide specific information about the client's vascular status. Pain assessment should be considered along with other objective findings.

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A nurse is assisting with the plan of care for a client who has Alzheimer's disease. Which of the following actions should the nurse recommend for the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new diagnosis of myasthenia gravis (MG) and a prescription for neostigmine. Which of the following information should the nurse include about the action of the medication?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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