A nurse is meeting with the caregivers of a client who has Alzheimer's disease who is at risk for wandering. Which of the following are manifestations that put the client at risk for wandering that the nurse should educate their caregivers about?

Confusion

Distress

Agitation

Depression

Distraction

Answer and Explanation

Correct Answer : A,C,E

A. Confusion: Individuals with Alzheimer's disease often experience confusion due to memory loss, disorientation, and difficulty processing information. Confusion can contribute to wandering behavior as the individual may become lost or disoriented in familiar surroundings, leading them to wander in search of familiar people or places.

C. Agitation: Agitation, characterized by restlessness, pacing, or irritability, is commonly observed in individuals with Alzheimer's disease. Agitation can be triggered by various factors such as environmental stimuli, changes in routine, or unmet needs. It can escalate and prompt wandering behavior as the individual seeks to alleviate discomfort or agitation.

E. Distraction: Individuals with Alzheimer's disease may easily become distracted by environmental stimuli or sensory cues, which can lead to wandering behavior. Distraction can impair the individual's ability to maintain attention to their surroundings, increasing the likelihood of wandering episodes.

The following options are not directly associated with wandering behavior in individuals with Alzheimer's disease:

B. Distress: While distress may be experienced by individuals with Alzheimer's disease due to various factors such as confusion, agitation, or environmental changes, it is not a specific manifestation that puts the client at risk for wandering. Distress may exacerbate wandering behavior in some cases but is not a primary risk factor.

D. Depression: Depression is a common comorbidity in individuals with Alzheimer's disease and can contribute to overall behavioral changes and functional decline. However, depression alone is not a direct manifestation that puts the client at risk for wandering. Wandering behavior is more closely associated with cognitive impairment, agitation, and environmental factors rather than depression.

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Correct Answer is B

Explanation

A. Myopia: Myopia refers to nearsightedness, which is caused by refractive errors in the eye and is not associated with Meniere's disease. Myopia results in difficulty seeing distant objects clearly.

B. Vertigo: Vertigo is a hallmark symptom of Meniere's disease and is caused by an excessive accumulation of endolymph fluid in the inner ear. Vertigo presents as a sensation of spinning or dizziness, often accompanied by nausea, vomiting, and imbalance.

C. Photophobia: Photophobia refers to sensitivity to light, which can be associated with various eye conditions but is not a typical manifestation of Meniere's disease. Photophobia may occur in conditions such as migraine headaches or certain eye infections.

D. Presbycusis: Presbycusis refers to age-related hearing loss, which typically occurs gradually over time and is not directly associated with Meniere's disease. Meniere's disease is characterized by sudden episodes of vertigo, hearing loss, tinnitus, and a sensation of fullness or pressure in the ear.

A. Limit exercise to 10 min, 2 days per week. B. Monitor blood pressure C. Lose weight if necessary D. Eat a diet high in saturated fats. E. Maintain current cholesterol level

Correct Answer is ["B","C"]

Explanation

A. Limit exercise to 10 min, 2 days per week. This recommendation is incorrect. Regular physical activity is essential for heart health. The American Heart Association recommends at least 150 minutes of moderate-intensity aerobic exercise or 75 minutes of vigorous-intensity aerobic exercise per week, spread throughout the week.

B. Monitor blood pressure This recommendation is correct. Monitoring blood pressure is an essential aspect of heart disease prevention. High blood pressure (hypertension) is a significant risk factor for heart disease, so regular monitoring allows for early detection and management.

C. Lose weight if necessary. This recommendation is correct. Maintaining a healthy weight or losing weight if overweight or obese is important for heart disease prevention. Excess weight, especially around the abdomen, increases the risk of heart disease and other health conditions.

D. Eat a diet high in saturated fats. This recommendation is incorrect. A diet high in saturated fats is associated with an increased risk of heart disease. Instead, the nurse should encourage a heart-healthy diet that includes fruits, vegetables, whole grains, lean proteins, and healthy fats.

E. Maintain current cholesterol level This recommendation is not entirely accurate. While maintaining healthy cholesterol levels is important for heart health, individuals with high cholesterol levels may need to take steps to lower their cholesterol through lifestyle modifications and, in some cases, medication. Therefore, simply maintaining current cholesterol levels may not be sufficient for heart disease prevention.

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A nurse is meeting with the caregivers of a client who has Alzheimer's disease who is at risk for wandering. Which of the following are manifestations that put the client at risk for wandering that the nurse should educate their caregivers about?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has Meniere’s disease. The nurse identifies that which of the following manifestations is caused by an excessive accumulation of endolymph fluid?

Correct Answer is B

Explanation

A nurse is planning to teach a community group about preventative measures for heart disease. Which of the following recommendations should the nurse include in the teaching plan? (Select All that Apply.)

Correct Answer is ["B","C"]

Explanation

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