A client on the unit is in the late stage of Alzheimer disease. The nurse planning care for the day should include:
1. having the client save all urine.
2. assisting the client to ambulate outside.
3. preventing the client from choking.
4. encouraging the client to play checkers.
Answer: 3
1. The client in the late stage of Alzheimer is usually incontinent and cannot follow orders.
2. The client in late stage Alzheimer cannot ambulate and is immobile.
3. Alzheimer clients in the late stage frequently experience hyperorality and put things in their mouth like a toddler. This puts them at risk for choking.
4. Since the client is mostly immobile and not functioning mentally, the nurse would not plan this activity.
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