The nurse is caring for a client with late stage Alzheimer's disease. Which of the following behaviors should the nurse expect the client to demonstrate?
Unable to perform activities of daily living, requires total care, and unable recognize family members.
Asks the same questions repeatedly even after being reoriented.
Has difficulty finding correct words when having a conversation.
Demonstrates impulsive behavior and is unable to recognize consequences.
The Correct Answer is A
A. Unable to perform activities of daily living, requires total care, and unable to recognize family members is characteristic of late stage Alzheimer's disease. In this stage, cognitive decline is severe, and clients lose the ability to communicate effectively, recognize loved ones, and carry out basic tasks without assistance.
B. Repeating questions even after reorientation is more typical of early to moderate stages of Alzheimer’s, when short-term memory is significantly affected but overall function is not yet completely lost.
C. Difficulty finding correct words, known as anomia, usually appears in the early to moderate stages and is not specific to the late stage.
D. Impulsive behavior and poor judgment may occur in moderate stages, but in late-stage Alzheimer’s, clients often become non-verbal and immobile rather than impulsive.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Taking naproxen with food can reduce gastrointestinal upset, but this does not address its potential harm during pregnancy.
B. Acetaminophen is generally considered safe during pregnancy, but aspirin and caffeine compounds may carry risks and should not be recommended without provider guidance.
C. Instruct the client to stop taking the medication and speak with the health care provider is correct. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that is generally not recommended during pregnancy, especially in the third trimester, due to potential risks such as premature closure of the ductus arteriosus and impaired fetal renal function. The client should stop taking the medication and consult with the provider for safer alternatives.
D. Increasing the dose of a potentially harmful medication during pregnancy is inappropriate and could increase risk to the fetus.
Correct Answer is C
Explanation
A. While warfarin is an anticoagulant, it is not contraindicated with contrast imaging. However, the nurse should monitor for bleeding and report any abnormal findings, but this medication is not a priority to report immediately in the context of a CT scan.
B. Pantoprazole is a proton pump inhibitor used to treat acid reflux, and it does not pose any specific concerns regarding the administration of contrast for an abdominal CT scan.
C. Metformin should be reported immediately. It is contraindicated in clients undergoing contrast procedures because it can increase the risk of lactic acidosis, particularly in those with renal impairment. Metformin should generally be withheld 48 hours before and after receiving contrast material to avoid this risk.
D. Fluoxetine is an antidepressant (SSRI) and does not have a direct interaction with the contrast medium used in CT scans. It is not a priority to report in this situation.
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