A nurse is caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?

Prion disease

Lewy body disease

HIV infection

Traumatic brain injury

Answer and Explanation

The Correct Answer is B

B. Fluctuating cognition and visual hallucinations are characteristic features of Lewy body dementia (LBD). LBD is a type of dementia that involves abnormal protein deposits called Lewy bodies in the brain. These deposits can cause fluctuations in cognitive abilities, leading to periods of clarity alternating with confusion or disorientation. Visual hallucinations are also common in LBD, often involving seeing people, animals, or objects that are not present.

A. Prion diseases are not commonly associated with fluctuating cognitive function.

C. HIV infection can cause a range of neurological complications, but they usually manifest differently from the symptoms described in the scenario.

D. Symptoms of TBI-related dementia would depend on the severity and location of the brain injury, but they often involve cognitive deficits consistent with the area of brain damage

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Correct Answer is C

Explanation

C. It acknowledges the client's request and communicates that their request will be addressed in collaboration with their healthcare provider. This response respects the client's autonomy while also ensuring that medication decisions are made within the context of a comprehensive healthcare plan overseen by a qualified provider.

A. This statement may come across as dismissive or confrontational to the client. It does not effectively address the client's request or provide guidance on how to proceed.

B. This question may imply suspicion or judgment about the client's motives for seeking a new prescription. It does not foster open communication or collaboration between the nurse and the client and may create a barrier to effective communication.

D. This option is not the appropriate response to a request for a new medication prescription. This option does not address the client's specific request and may not be relevant to their current healthcare needs.

A. Stage 1 (mild) B. Stage 3 (severe) C. The client's manifestations indicate a psychotic disorder instead of alcohol withdrawal. D. Stage 2 (moderate)

Correct Answer is B

Explanation

Stage 3 alcohol withdrawal, also known as delirium tremens (DTs), is characterized by severe manifestations, including hallucinations (such as seeing spiders crawling on the walls), disorientation, agitation, and potentially life-threatening physiological disturbances. The client's

belief that they are at home and calling for their mother indicates significant confusion and disorientation, which are common features of delirium tremens.

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A nurse is caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is requesting a prescription for a new medication. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

A nurse is caring for a client who has schizophrenia and has been taking a first-generation medication for several years. The client is exhibiting jerking movements and twitching of the face and tongue. Which of the following is the client experiencing?

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