The family of a client with a diagnosis of dementia of the Alzheimer's type (DAT) has expressed concern that they may inherit the disorder. The nurse tells the family which of the following?
1. There appear to be genetic links in the development of early onset DAT.
2. There are no genetic links.
3. There is evidence to suggest increased cerebral blood flow causes DAT.
4. There is evidence to suggest massive neuronal death causes DAT.
1
Rationale: Heritability is well documented and accounts for approximately one-third of all cases of dementia of the Alzheimer's type. Decreased cerebral blood flow is noted in the posterior temporoparietal regions. The causes of structural degeneration in the brains of clients with DAT are associated with amyloid-beta-derived diffusible ligands.
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All of the following nursing measures are carried out while maintaining an arterial line except
A. Level transducer at least every 8 hours. B. Maintain visual exposure of catheter insertion site. C. Observe the waveform frequently. D. Ensure pressure infusion bag is maintained below 300 mm Hg.
The nurse identifies a nursing diagnosis of Nausea secondary to the effects of antiarrhythmic therapy. Which of the following would the nurse include in the client's plan of care? Select all that apply
A) Administering the drug with food B) Having the client lie flat for 2 hours after eating C) Scanning the client's bladder for distention D) Offering small, frequent meals E) Encouraging gradual position changes
A client admitted for difficulty breathing becomes worse. Which assessment findings indicate that the client has developed acute respiratory distress syndrome (ARDS)? (Select all that apply.)
a. Oxygen administered at 100%, PaO2 60 b. Increased dyspnea c. Anxiety d. Chest pain e. Pitting pedal edema f. Clubbing of fingertips
The nurse observes that a client's anteroposterior (AP) chest diameter is the same as his lateral chest diameter. What is the nurse's most important question for the client in response to this finding?
a. No questions are needed regarding this normal finding. b. "Do you have any chronic breathing problems?" c. "How often do you perform aerobic exer-cise?" d. "What is your occupation and what are your hobbies?"