Which statement by the family is consistent with mild Alzheimer’s disease?
She has stopped speaking to all of us
She has difficulty using her toothbrush and comb
She seems forgetful and takes longer to do daily tasks
She has lost control of her bladder and bowel
The Correct Answer is C
Choice A reason: Stopping speech entirely suggests advanced Alzheimer’s or aphasia, not mild, where memory and task performance decline first, not communication fully.
Choice B reason: Difficulty with toothbrush and comb indicates moderate Alzheimer’s, where motor apraxia emerges, beyond mild stage’s primary memory issues.
Choice C reason: Forgetfulness and slower task completion reflect mild Alzheimer’s early memory loss and executive dysfunction, impairing planning, consistent with initial stages.
Choice D reason: Bladder and bowel incontinence occur in late Alzheimer’s from severe brain damage, not mild, where cognitive, not physical, decline predominates.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Increasing fiber binds dietary calcium, reducing absorption in hyperparathyroidism, aiding excretion, so this statement aligns with proper management.
Choice B reason: Furosemide enhances calcium excretion via urine, countering hyperparathyroidism’s high levels, making this an accurate understanding of treatment intent.
Choice C reason: Parathyroidectomy removes overactive glands, correcting calcium overproduction in hyperparathyroidism, a correct expectation reflecting disease management.
Choice D reason: Fluid restriction (1,000 mL) concentrates calcium, worsening hypercalcemia in hyperparathyroidism; increased fluids dilute it, so this needs correction.
Correct Answer is B
Explanation
Choice A reason: Fever of 103°F may occur in thyroid storm, not goiter, which is simply thyroid enlargement without systemic hypermetabolism or infection necessarily.
Choice B reason: Goiter is defined by thyroid gland enlargement, often from iodine deficiency or hyperplasia, palpable as a neck mass, the core characteristic here.
Choice C reason: Fibrotic tissue in arterioles relates to vascular diseases, not goiter, which involves thyroid tissue growth, not arterial structural changes.
Choice D reason: Glycosaminoglycan deposits occur in myxedema (hypothyroidism), not goiter, which is enlargement alone, not skin or connective tissue alteration.
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