Which of the following aspects of older adult clients' cognitive and functional declines is suggestive of dementia syndrome of depression rather than dementia?
A) A client fixates on his physical disabilities, talking about them at great length.
B) A client has experienced slow and subtle loss of cognition and function.
C) A client's mood and behavior have become uncharacteristic but unpredictable in recent months.
D) A client has developed coping strategies to conceal and accommodate cognitive losses.
Ans: A
Clients with dementia syndrome of depression tend to focus on their disabilities rather than concealing them. The diagnosis is characterized by a rapid onset and large fluctuations in cognition and behavior.
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A client with first- and second-degree burns of the cheek was very concerned about permanent damage. The nurse might focus the client teaching on:
A) prevention of infection to reduce scarring. B) use of vitamin E to prevent scarring. C) scrubbing the burned area daily to promote new skin growth. D) use of plastic surgery to relieve scarring.
The nurse is caring for an older client who has been getting more confused recently. What other characteristics might the family notice that alerts the nurse that the client may be at risk for wan-dering?
a. The client paces and cannot be redirected easily. b. The client sleeps 6 hours at night and takes a brief nap during the day. c. The client gets tired when cleaning the kitchen after cooking dinner. d. The client uses a space heater for supple-mental heat.
The physician orders daily administration of thiamine for a chronic alcoholic who has been hospitalized for alcohol withdrawal. When the client asks the nurse what thiamine is for, which is the appropriate nursing response?
A) "To restore nutritional balance." B) "To prevent pancreatitis." C) "To prevent alcoholic hepatitis." D) "To prevent Wernicke encephalopathy."
Which question should the nurse ask the client that is prescribed cefepime (Maxipime)?
A. "Are you breastfeeding?" B. "Are you pregnant?" C. "Are you allergic to penicillin?" D. "Are you allergic to tetracycline?"