Which approach is best for the nurse to use when directing a client with Huntington's disease to the hospital cafeteria?
Provide step by step verbal directions.
Orient the client to the color coding system used for locating hospital services.
Use the hospital map to show the client where the cafeteria is located.
Escort the client to the cafeteria.
The Correct Answer is D
D. For individuals with Huntington's disease, who may experience motor impairments and difficulties with coordination and balance, having someone escort them to the cafeteria could be the most practical and supportive approach.
A. Verbal directions may be a component of assistance but they may not be the most effective approach on their own.
B. Individuals with Huntington's disease may still have difficulties with executive function and orientation, which could limit their ability to effectively use a color coding system independently.
C. Providing a visual representation of the hospital layout using a map could be a helpful approach for a client with Huntington's disease. However, the cognitive and motor impairment present may hinder access even in the presence of a map.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Respiratory acidosis occurs when there is inadequate alveolar ventilation, leading to retention of carbon dioxide (hypercapnia) in the blood. The accumulation of carbon dioxide results in an increase in the partial pressure of carbon dioxide (PaCO2), leading to respiratory acidosis.
A. Hyperventilation refers to breathing at a rate and depth that exceeds the body's metabolic needs, leading to a decrease in the partial pressure of carbon dioxide (PaCO2) in the blood. Respiratory acidosis, however, is characterized by an increase in PaCO2 due to inadequate ventilation, not rapid elimination of carbon dioxide.
B. This choice refers to the hypoxic drive, which is a compensatory mechanism triggered by low oxygen levels in the blood. While hypoxemia (low oxygen levels) can stimulate the respiratory rate, it typically occurs in chronic respiratory conditions such as chronic obstructive pulmonary disease (COPD) rather than acute respiratory acidosis.
C. While the kidneys play a role in regulating acid-base balance through the excretion of hydrogen ions and reabsorption of bicarbonate ions, they do not directly eliminate carbon dioxide from the body.
Correct Answer is A
Explanation
A. Tiotropium is commonly delivered via a handihaler device for inhalation. Using the medication every day is consistent with the recommended dosing regimen for managing chronic obstructive pulmonary disease (COPD) symptoms.
B. While it's important for clients with COPD to have access to a rescue inhaler for sudden shortness of breath, it's also crucial for them to understand the specific instructions for using each medication.
C. Tiotropium is a long-acting bronchodilator that helps relax the airway muscles. It does not have direct effect on the thickness of mucus secretions.
D. While tiotropium can help prevent exacerbations and reduce the frequency of sudden shortness of breath, it is not typically used as a rescue inhaler for acute symptom relief.
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