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.

Answer and Explanation

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.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

Open the splint: Reduces pressure and alleviates compartment syndrome.

Place the client on NPO status: Anticipated in preparation for possible surgery (e.g., fasciotomy).

Place the leg in a dependent position: Contraindicated as it can worsen swelling and increase pressure.

Obtain a urinalysis: Necessary to monitor for myoglobinuria, a potential complication of muscle damage in compartment syndrome.

A. “I am only contagious while the lesions are present." B. "The virus cannot spread to areas other than the genital area." C. "I can have unprotected sex as long as I am taking acyclovir." D. "The lesions may reoccur in times of stress."

Correct Answer is D

Explanation

A. "I am only contagious while the lesions are present.": Viral shedding can occur even when lesions are not visible.
B. "The virus cannot spread to areas other than the genital area.": The virus can spread to other areas through autoinoculation or sexual contact.
C. "I can have unprotected sex as long as I am taking acyclovir.": Acyclovir reduces outbreaks but does not eliminate the risk of transmission.
D. "The lesions may reoccur in times of stress.": Herpes simplex virus type 2 is latent between outbreaks, but stress and other factors can trigger recurrences.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

A nurse is reinforcing teaching with a client who has herpes simplex virus type 2. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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