When administering the Mini-Cog exam to a patient with possible Alzheimer's disease, which action will the nurse take?

Check the patient's orientation to time and date.

Obtain a list of the patient's prescribed medications.

Determine the patient's ability to recognize a common object.

Ask the patient to draw a clock with a specific time

Answer and Explanation

The Correct Answer is D

Choice A Rationale: Checking the patient's orientation to time and date is a part of assessing cognitive function but is not specific to the Mini-Cog exam.

Choice B Rationale: Obtaining a list of the patient's prescribed medications is important for the overall assessment but is not specific to the Mini-Cog exam.

Choice C Rationale: Determining the patient's ability to recognize a common object is not a component of the Mini-Cog exam.

Choice D Rationale: Asking the patient to draw a clock with a specific time is a key component of the Mini-Cog exam, which assesses cognitive impairment and is commonly used to screen for Alzheimer's disease.

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Correct Answer is D

Explanation

Choice A Rationale: Guillain-Barre syndrome does not typically cause enlargement of parotid and salivary glands, leading to drooling.

Choice B Rationale: Obstructed blood flow to the brain is not the primary cause of the described symptoms in Guillain-Barre syndrome.

Choice C Rationale: Deficiency of thiamine and pyridoxine in the central nervous system is not a characteristic feature of Guillain-Barre syndrome.

Choice D Rationale: In Guillain-Barre syndrome, demyelination affects cranial nerves responsible for swallowing and the gag reflex, leading to difficulties in swallowing secretions and drooling.

A. Loosen all of the connections on the vest to assess the skin B. Ask about the client's ability to perform range of motion to legs C. Ask how the client is able to reposition self in bed D. Assess the pin sites

Correct Answer is D

Explanation

Choice A Rationale: Loosening all of the connections on the vest to assess the skin is not the first priority and may compromise the stability of the halo brace.

Choice B Rationale: Asking about the client's ability to perform range of motion to legs is important but may not be the first priority.

Choice C Rationale: Asking how the client is able to reposition self in bed is important but may not be the first priority.

Choice D Rationale: Assessing the pin sites is the first priority in caring for a client with a halo brace, as complications related to pin site infections or issues can have significant consequences. Pin site care and assessment are crucial to prevent infections and complications.

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When administering the Mini-Cog exam to a patient with possible Alzheimer's disease, which action will the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client recently diagnosed with Guillain-Barre' syndrome is drooling and having difficulty swallowing secretions. When asked why this is happening, which of the following is the best answer for the nurse to give to the family?

Correct Answer is D

Explanation

The nurse is providing care for a client who was placed in a halo brace 2 days ago because of a spinal cord injury. Which assessment is the first priority of the nurse?

Correct Answer is D

Explanation

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