Which client is most at risk for the development of Alzheimer's disease (AD)?
A. 54-year-old male with diabetes mellitus
B. 70-year-old male with a history of stroke
C. 24-year-old female with rheumatic heart disease
D. 48-year-old female with a history of a head injury
D
Clients who have experienced a head injury are at higher risk for AD, and the disease may ma-nifest itself at an earlier age.
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Place the steps of assisting the client with combing and brushing of the hair in the appropriate order. Standard Text: Click on the down arrow for each response in the right column and select the correct choice from the list
Response 1. Brush or comb from the scalp toward the hair ends. Response 2. Move fingers through hair to loosen any larger tangles Response 3. Use a wide-tooth comb, start on either side of the head, and insert the comb with the teeth upward to the hair near the scalp. Comb through the hair in a circular motion by turning the wrist while lifting up and out. Continue until all hair is combed through, and then comb into place to shape and style. Response 4. Moisten hair lightly with water, conditioner, or an alcohol-free detangle product before combing. Response 5. Part the hair into two sections, then separate hair into two more sections.
A nurse provides teaching for a patient with cytomegalovirus (CMV) retinitis who will receive the ganciclovir ocular implant [Vitrasert]. Which statement by the patient indicates a need for further teaching?
a. "My vision may be blurred for 2 to 4 weeks after receiving the implant." b. "Surgical placement of the implant is an outpatient procedure." c. "The implant will remain in place perma-nently." d. "The implant will slow progression of CMV retinitis."
A client's visit to the health care clinic reveals a blood pressure of 130/82. The client's blood pressure has been 138/88 at each of the last three clinic visits. The nurse recognizes that:
1. The client should be educated on lifestyle modifications now to diminish the client's increased risk of developing stage 1 or stage 2 hypertension. 2. The client is at higher risk for developing stage 1 or stage 2 hypertension. The nurse will provide education on lifestyle modifications and anticipates the client will be started on medications at this visit. 3. The client is not at any higher risk for developing hypertension than anyone else and will therefore continue to be monitored periodically. 4. The client's blood pressure meets the criteria for stage 1 hypertension. In addition to educating the client on lifestyle modifications, the nurse anticipates no need to start medication unless the blood pressure continues to climb.
Which of the following would constitute negligence if performed by a nurse?
a. Failure to protect a patient from a fall that resulted in injury b. Failure to restrain a patient on bedrest c. Failure to restrain a confused patient d. Failure to notify the family of a change in condition requiring intensive care unit care