A nurse is contributing to the plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?
Encourage socialization as a distractor when the client becomes agitated.
Limit instructions to two steps at a time.
Vary the staff providing care for the client
Encourage independence in ADLs.
The Correct Answer is B
A. "Encourage socialization as a distractor when the client becomes agitated.": Socialization might exacerbate agitation; calm environments and redirection are better strategies.
B. "Limit instructions to two steps at a time.": Simplified instructions accommodate the cognitive limitations of Alzheimer’s clients, reducing confusion and frustration.
C. "Vary the staff providing care for the client.": Consistent caregivers are essential for maintaining familiarity and reducing anxiety in clients with Alzheimer's disease.
D. "Encourage independence in ADLs.": Independence should only be encouraged as much as the client can manage safely; overemphasis might lead to frustration or harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Apply five drops of developer to each smear: Typically, two drops of developer are applied per sample, not five. Applying excess developer may dilute the reaction and yield unreliable results.
B. Use the same part of stool for each sample: Samples should be taken from different parts of the stool to ensure accuracy and detect localized bleeding.
C. Ensure the sample contains no urine: Urine contamination can interfere with test results, leading to inaccurate findings. The client should collect a clean stool sample.
D. Wait 10 min before applying the developing solution: The developing solution should be applied immediately after placing the stool sample on the test card to prevent errors in interpretation.
Correct Answer is B
Explanation
A. Hemorrhoidectomy is not likely to cause a false-positive test, as the wound would typically heal and stop bleeding after a year.
B. The client takes ibuprofen for headaches: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the gastrointestinal (GI) tract, leading to minor bleeding in the stomach or intestines, which can result in a false-positive fecal occult blood test.
C. Citrus juice may alter the pH of the stool but is not a known cause of false-positive results in fecal occult blood tests.
D. Breast cancer is not directly associated with causing false-positive results in fecal occult blood tests.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.