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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Before withdrawing any insulin from the vial, it's essential to ensure that the pressure within the vial is equalized. This is achieved by injecting air into the vial equal to the volume of insulin to be withdrawn. Therefore, the nurse should first inject 20 units of air into the vial of NPH insulin. This prevents the formation of a vacuum inside the vial, making it easier to withdraw the correct dose of insulin.
B. Injecting air into the vial of regular insulin should be the second step after injecting air into the vial of NPH insulin. This ensures that both insulin types are prepared correctly.
C. Withdrawing 20 units of NPH insulin from the vial should occur after injecting air into the vial, not before.
D. Withdrawing 5 units of regular insulin from the vial should occur after injecting air into the vial, not before.
Correct Answer is D
Explanation
A. The lecithin/sphingomyelin (L/S) ratio test is not used to detect birth defects. It specifically assesses fetal lung maturity by measuring the ratio of two phospholipids present in fetal lung surfactant.
B. The L/S ratio test does not reveal the sex of the fetus. It is unrelated to fetal gender determination.
C. While preterm labor risk can be assessed through other methods, such as cervical length
measurement or fetal fibronectin testing, the L/S ratio test is specifically focused on fetal lung maturity.
D. The L/S ratio test is primarily used to determine fetal lung maturity, as an increased ratio indicates lung maturity and readiness for extrauterine life.
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