The nurse administers galantamine hydrobromide to a client with early onset Alzheimer's disease. Which nursing problem addresses its therapeutic use?

Fluid volume excess.

Disturbed thought processes.

Altered breathing pattern.

Answer and Explanation

The Correct Answer is B

Choice A reason: Fluid volume excess is not related to the therapeutic use of galantamine hydrobromide. This medication is used to improve cognitive function in clients with Alzheimer's disease, which is more closely associated with disturbed thought processes.

Choice B reason: Disturbed thought processes are directly related to the therapeutic use of galantamine hydrobromide. This medication helps enhance cognitive function by increasing the levels of acetylcholine in the brain, which is crucial for memory and thinking. Clients with Alzheimer's disease often experience cognitive decline, and this medication aims to mitigate those symptoms.

Choice C reason: Altered breathing pattern is not addressed by the therapeutic use of galantamine hydrobromide. This medication is specifically used to treat cognitive symptoms associated with Alzheimer's disease, rather than respiratory issues.

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Correct Answer is C

Explanation

Choice A reason: Keeping toenails trimmed short is important for foot care, especially in clients with PAD, but it is not the highest priority.

Choice B reason: Applying a heating pad to soothe leg pain can provide temporary relief but does not address the underlying issue of PAD or reduce cardiovascular risk.

Choice C reason: Enrolling in a smoking cessation program is the highest priority. Smoking significantly exacerbates PAD and increases the risk of further cardiovascular events, including heart attacks. Quitting smoking is crucial for improving vascular health and reducing the risk of complications.

Choice D reason: Reducing intake of high saturated fats and salt is important for overall cardiovascular health but is not as immediate or impactful as smoking cessation in reducing the risk of complications from PAD and MI.

A. Heart rate 80 beats/minute, respirations 18 breaths/minute, and blood pressure 140/70 mmHg. B. Heart rate 110 beats/minute, respirations 22 breaths/minute, and blood pressure 88/56 mmHg. C. Heart rate 62 beats/minute, respirations 19 breaths/minute, and blood pressure 150/90 mmHg. D. Heart rate 100 beats/minute, respirations 24 breaths/minute, and blood pressure 118/68 mmHg.

Correct Answer is B

Explanation

Choice A reason: These vital signs are within normal limits and do not indicate an immediate concern that requires reporting to the healthcare provider.

Choice B reason: This set of vital signs shows a heart rate of 110 beats/minute, which is tachycardia, and a blood pressure of 88/56 mmHg, which is hypotension. Both of these findings, combined with the client's fever, could indicate sepsis or other complications that require immediate attention.

Choice C reason: These vital signs are relatively stable and do not indicate a critical issue that requires immediate reporting.

Choice D reason: While these vital signs show an elevated respiratory rate, they are not as critical as the vital signs in Choice B, which show hypotension and tachycardia.

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