A client diagnosed with AD exhibits progressive memory loss, diminished cognitive functioning, and verbal aggression upon experiencing frustration. Which nursing intervention is most appropriate?
1. Organize a group activity to present reality.
2. Minimize environmental lighting.
3. Schedule structured daily routines.
4. Explain the consequences for aggressive behaviors.
3
Rationale: The most appropriate nursing intervention for this client is to schedule structured daily routines. A structured routine will reduce frustration and thereby reduce verbal aggression.
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A nurse needs to administer 250 ml of IV solution to a client. The IV solution is packaged in a rigid glass container. Which of the following types of tubing should the nurse choose?
A) Vented tubing B) Nasogastric tubing C) Unvented tubing D) Primary tubing
The nurse plans for the skin care of the patient with ascites, which would include: (Select all that apply.)
a. bathing in tepid water. b. applying emollients to decrease itching. c. cutting the patient's fingernails short. d. changing the patient's position every 1 to 2 hours. e. coaching in deep-breathing exercises.
Which of the following clinical assessments will test attention span?
a. Spell WORLD backward. b. Draw a clock. c. Say the days of the week. d. Do arithmetic calculations. e. Explain "a stitch in time saves nine.".
The home health nurse is revising the care plan of a client diagnosed with HIV who has developed a vaginal yeast infection. Nursing diagnoses related to this opportunistic infection include: Select all that apply
1. Acute/Chronic Pain. 2. Impaired Skin Integrity. 3. Deficient Knowledge. 4. Anxiety. 5. Infection transmission.