The nurse at a nursing home wants to help decrease the risk of Alzheimer disease in the residents. Which should the nurse do to implement this goal?

a. Keep the curtains open in their rooms.
b. Offer beads for them to string on yarn.
c. Show movies that the residents choose.
d. Assist residents with ambulation to meals.


D
Engaging in physical activity and social interaction are associated with a lower risk for Alzheimer disease. Keeping the curtains open can make a resident's room more pleasant but is likely to be counterproductive in lowering the risk; brightening the room can entice the resident to stay in the room and decrease social interaction. Stringing beads is a passive and sedentary activity and therefore unlikely to decrease the risk for Alzheimer disease; physical activity is associated with a lower risk for Alzheimer disease. Watching movies is a sedentary but not a mentally stimulating activity for an adult with a normal intelligence.

Nursing

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The nurse is correct when explaining to the patient that the portion of the heart that is responsible for contracting the muscle layers in order to pump blood is which structure?

a. Myocardium b. Endocardium c. Epicardium d. Pericardium

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The nurse is providing care to a client with a history of a diagnosis of heart disease who has been placed on a telemetry monitor. The nurse observes an irregular rhythm on the monitor. Which is the first action the nurse should implement?

A. Immediately initiate cardioversion. B. Place oxygen on the client. C. Administer calcium channel blockers. D. Complete a cardiac assessment.

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What will be an ideal response?

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A patient is given zolpidem (Ambien) at bedtime. Which action should the nurse take when the patient needs to void in the middle of the night?

A. Provide a bedpan. B. Provide a bedside commode. C. Ambulate the patient to the bathroom. D. Insert a urinary catheter.

Nursing