An elderly man drove from his home to a nearby convenience store and was unable to remember how to get home. He was unable to tell a police officer his address and demonstrated labile mood
The officer took the man and met the man's wife, who related that her husband often wanders around the neighborhood, sometimes taking tools from people's garages. She reluctantly agreed that he should go to the emergency department for evaluation. He was diagnosed with Alzheimer's disease. On the basis of the patient's history, the nurse can make the assessment that the patient's Alzheimer's disease has progressed to: a. stage 1 (mild).
b. stage 2 (moderate).
c. stage 3 (moderate to severe).
d. stage 4 (late).
B
In stage 2, deterioration is evident. Memory loss may include the inability to remember addresses or the date. Mood is labile. Activities such as driving may become hazardous, as seen here, and increasing difficulty in performing ordinary tasks leads to frustration. Hygiene may begin to deteriorate. Stage 1 is the mildest stage; amnestic changes are evident but functioning is generally intact. Stage 3 finds the individual unable to identify familiar objects or people, and needing direction for the simplest of tasks. In stage 4, the ability to talk and walk are eventually lost and stupor evolves.
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In assessing a client recently diagnosed with acute glomerulonephritis, the nurse asks which question to determine potential contributing factors?
a. "Are you sexually active?" b. "Do you have pain or burning on urina-tion?" c. "Has anyone in your family had chronic kidney problems?" d. "Have you had a cold or sore throat within the last 2 weeks?"
The nurse is educating a client who is participating in a drug study and describes the median toxicity dose as the dose that will produce toxicity in ____ % of a group of clients
Fill in the blank with the appropriate word.
Which of the following statements most accurately reflects nursing accountability in the in-traoperative phase?
1. "I would like to see the client have a regional anesthetic rather than a general an-esthetic." 2. "There seems to be a missing sponge, so a recount should be done of all the sponges that have been removed." 3. "Did the client receive the medications and sign the consent?" 4. "The client looks to be reactive and stable."
Room air contains approximately
A. 5 percent oxygen. B. 21 percent oxygen. C. 63 percent oxygen. D. 100 percent oxygen.