Try Naxlex NCLEX-RN (Free-Trial)

A nurse is caring for a 76-year-old female client who experienced a fall.

Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to collect data about the client's progress.

Answer and Explanation

The Correct Answer is []

Condition: Alzheimer's disease.

2 actions:

Use symbols rather than written signs for directions,

Anticipate a prescription for donepezil.

2 parameters:

Presence of agnosia,

Ability to complete familiar tasks.

Rationale for correct condition: Alzheimer's disease explains the client's confusion, disorientation, and difficulty with familiar tasks. The client's inability to recall their home address and confusion with objects (call light and washcloth) aligns with cognitive decline. Alzheimer's disease often presents with memory loss and impaired judgment. The client's symptoms are progressive and not episodic. The overall presentation fits the profile of Alzheimer's disease.

Rationale for actions: Using symbols helps clients with Alzheimer's navigate and recognize their environment more easily. Symbols are easier to interpret than written signs. Donepezil can help manage symptoms by increasing acetylcholine levels. It supports cognitive function in Alzheimer's patients. Determining the date of the last eye examination is less relevant. Eye exams do not address cognitive decline directly. Duloxetine treats depression, not cognitive impairment. Monitoring agnosia tracks the client's ability to recognize objects. Completing familiar tasks assesses cognitive function. Night vision is less critical in cognitive assessment. Oxygen saturation is stable and not related to cognitive issues.

Rationale for parameters: Presence of agnosia helps identify progression of Alzheimer's. Monitoring familiar tasks assesses daily functioning and cognitive decline. Night vision is not directly related to cognitive assessment. Oxygen saturation is not affected by Alzheimer's. Cognitive tasks and object recognition are more relevant in this context.

Rationale for incorrect conditions: Expected aging process does not explain the severity of symptoms. Major depressive disorder presents differently with mood-related symptoms. Delirium is acute and reversible, not fitting the chronic, progressive nature of Alzheimer's disease.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale

Codependency support groups are designed for individuals dealing with the effects of another person's addiction. While helpful for some, it might not specifically address the needs of someone with dual diagnoses.

Choice B rationale

Psychodrama involves role-playing techniques used to explore and solve personal problems, which may not be as effective as targeted dual diagnosis treatment for clients with both antisocial personality disorder and alcohol dependency.

Choice C rationale

Dual diagnosis treatment is specifically designed to address the simultaneous presence of a mental health disorder and substance use disorder. It provides an integrated approach to treatment that addresses both conditions simultaneously.

Choice D rationale

Behavioral therapy focuses on modifying harmful behaviors but may not address the complexities of co-occurring mental health and substance use disorders as effectively as dual diagnosis treatment.

A. Diarrhea. B. Hypokinesis. C. Bradycardia. D. Meiosis.

Correct Answer is A

Explanation

Choice A rationale

Diarrhea is a common symptom of opioid withdrawal due to increased gastrointestinal motility.

Choice B rationale

Hypokinesis, or decreased movement, is not associated with opioid withdrawal. Withdrawal symptoms include restlessness and agitation.

Choice C rationale

Bradycardia, or slow heart rate, is not a typical manifestation of opioid withdrawal. Tachycardia (increased heart rate) is more common.

Choice D rationale

Meiosis, or pupil constriction, occurs with opioid use. During withdrawal, mydriasis (dilated pupils) is more common.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a mental health facility is caring for a client who has antisocial personality disorder and alcohol dependency.The nurse should encourage the client to participate in which of the following groups?

Correct Answer is C

Explanation

A nurse is collecting data from a client who is experiencing opioid withdrawal.Which of the following manifestations should the nurse expect?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about client confidentiality.Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse is reinforcing behavior management techniques with the parent of a school-age child who has conduct disorder.Which of the following statements by the parent indicates an understanding of the redirection technique?

A nurse is caring for a newly admitted client who has obsessive-compulsive disorder.Which of the following actions should the nurse take first?

A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's disease.The caregiver reports that the client awakens at night and wanders.Which of the following strategies should the nurse suggest?

A nurse is collecting data from an older adult client who was admitted with heart failure.The nurse should report which of the following findings to the provider as an indication of delirium?

A nurse is caring for a client who has an opioid use disorder.The nurse should anticipate that the provider will prescribe which of the following medications for treatment?

A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy.The nurse should notify the provider for which of the following findings?