A patient is in which stage of Alzheimer disease when she demonstrates "sundowning"?
a. Early stage
b. Second stage
c. Third stage
d. Final stage
ANS: B
"Sundowning" is seen in the AD patient in the second stage of the disease.
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The student nurse asks if advance practice training is needed to lead psychoeducation groups and assist families. The instructor tells the nurse that all nurses can lead the groups as long as they:
1. Support a loss of autonomy. 2. Promote rigidity and chaos. 3. Understand family and group dynamics. 4. Isolate family members from one another.
A nurse working in the ICU receives orders for dopamine, which is an intravenous vasoactive drug. The priority assessment and interventions specific to the administration of vasoactive medications are:
A) Frequent vitals, monitoring the central-line site, and providing accurate drug titration B) Reviewing medications, performing a focused cardiovascular assessment, and providing patient education C) Reviewing the laboratory findings, monitoring urine output, and assessing for peripheral edema. D) Routine vitals, monitoring the peripheral IV site, and providing early discharge instructions.
What should the nurse do to reduce the incidence of postural hypotension in a patient with a spinal cord injury?
a. Monitor diastolic blood pressure closely b. Encourage the patient to remain in the bed c. Raise the head of the bed for 15 to 20 minutes before transfer to a wheelchair d. Encourage adequate intake of fluids to expand fluid volume
The nurse is investigating a model health program to recommend to a client who needs help with ADLs and is unable to live alone. Which of the following models would be most appropriate for the nurse to help the client explore?
a. Healthwise handbook b. Green house c. Project enhance d. Ornish program