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,
seeming pleasant one minute and angry the next.
The officer took the individual to his home to
discuss his condition with the family. The wife 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 client's history, the nurse can make the assessment that the client'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, and frustration by the
increasing difficulty of performing ordinary tasks may be experienced. Hygiene may begin to
deteriorate. Option C: Stage 3 finds the individual unable to identify familiar objects or people and
needing direction for the simplest of tasks. Option D: In stage 4 the ability to talk and walk are
eventually lost and stupor evolves.
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A patient with blindness related to conversion disorder tells the nurse, "Lots of doctors and nurses stop by to check on my blindness, and the other patients are really interested in it, too
Too bad people didn't think I was interesting before I became blind.". Which nursing diagnosis is most suggested by this comment? a. Social isolation b. Chronic low self-esteem c. Interrupted family processes d. Ineffective health maintenance
A nurse is providing education to a group of nurses at a fertility clinic. The nurse asks the group, "Which agents have the effect of inducing ovulation?" Which responses by the nurses best demonstrate understanding? (Select all that apply.)
a. Choriogonadotropin b. Clomiphene c. Menotropins d. Follitropins e. Nafarelin
A mother has given birth to an infant with cytomegalic inclusion disease; what does this indicate?
A. The infant is likely to have an abnormal chromosome karyotype. B. The mother has been previously infected with the cytomegalovirus (CMV), and the infection became activated during the pregnancy, or the mother acquired a CMV infection during her pregnancy. C. There is no risk of fetal injury or malformation, because the mother cannot transmit CMV to the fetus. D. The virus may have caused genetic abnormalities in the fetal chromosomes, which can be identified by laboratory tests.
The nurse is caring for a patient who develops sinus tachycardia. What action should the nurse take?
a. Inform the RN promptly. b. Turn the patient onto the left side. c. Recheck vital signs in 15 minutes. d. Have the patient cough forcefully.