The nurse is helping develop a plan of care for a patient that has advanced Alzheimer’s disease.
The patient will be taking a new medication.
Which is a realistic goal for this patient?

Exhibit ability to provide self-care.

Show improved memory for recent events.

Receive appropriate assistance for care needs.

Demonstrate improved cognitive function.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Exhibiting the ability to provide self-care may not be realistic for a patient with advanced Alzheimer’s disease. Cognitive decline may impair their ability to perform daily activities independently, necessitating assistance from caregivers.

Choice B rationale

Improving memory for recent events is unlikely in advanced Alzheimer’s disease, as the condition typically involves progressive memory loss and cognitive decline. New medications may help manage symptoms, but reversing memory loss is not a realistic goal.

Choice C rationale

Receiving appropriate assistance for care needs is a realistic and achievable goal for patients with advanced Alzheimer’s disease. As the disease progresses, patients will require increasing levels of support to ensure their safety and well-being.

Choice D rationale

Demonstrating improved cognitive function is unlikely in advanced Alzheimer’s disease. While medications may help manage symptoms, the progressive nature of the disease means that cognitive decline will continue, and improvement is not a realistic expectation.

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Correct Answer is C

Explanation

Choice A rationale

Poor self-care is not directly associated with reddened, bleeding gums in this context.

Choice B rationale

While aspirin can cause bleeding issues, the context here is related to seizure disorder and phenytoin.

Choice C rationale

Phenytoin, an anticonvulsant used to manage seizures, can cause gingival hyperplasia, leading to reddened and bleeding gums.

Choice D rationale

Hepatotoxicity is related to liver damage and does not present with reddened, bleeding gums.

A. Acetaminophen (Tylenol). B. Ibuprofen (Motrin). C. Aspirin (Ecotrin). D. Diflunisal (Dolobid).

Correct Answer is A

Explanation

Choice A rationale

Acetaminophen is recommended for children because it is effective for pain and fever relief with a low risk of stomach irritation and other side effects.

Choice B rationale

Ibuprofen, though effective, may cause stomach irritation and should be used with caution in children.

Choice C rationale

Aspirin is not recommended for children due to the risk of Reye’s syndrome, a rare but serious condition.

Choice D rationale

Diflunisal is not recommended for children as it is primarily used for more severe pain and conditions like arthritis.

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The nurse is helping develop a plan of care for a patient that has advanced Alzheimer’s disease.The patient will be taking a new medication.Which is a realistic goal for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient that has seizure disorder.The nurse notes that the patient has reddened gums that bleed when oral care is given.The nurse recognizes this finding as:

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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The nurse is helping develop a plan of care for a patient that has advanced Alzheimer’s disease.
The patient will be taking a new medication.
Which is a realistic goal for this patient?