The patient has been diagnosed with progressive Alzheimer's disease. Characteristics of this disease include which of the following? (Select all that apply.)
a. Delirium
b. Agnosia
c. Apraxia
d. Aphasia
e. Amnesia
B, C, D, E
Alzheimer's disease is the most common form of dementia. Alzheimer's disease is a progressive loss of memory (amnesia), loss of ability to recognize objects (agnosia), loss of the ability to perform familiar tasks (apraxia), and loss of language skills (aphasia). As the disease progresses, some patients also experience changes in personality and behavior, such as anxiety, suspicious-ness, or agitation, as well as delusions or hallucinations. Delirium is an acute confusional state and requires prompt assessment. It is a potentially reversible cognitive impairment that is often a result of physiological causes. Some of these causes include electrolyte imbalance, hypoglycemia, infection, and medications.
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A patient with polycystic ovary syndrome (PCOS) asks the nurse what she can do to improve her chances of getting pregnant. Which statement by the patient indicates a need for further teach-ing?
a. "Clomiphene will help induce ovulation but will not treat the other symptoms of polycystic ovarian disease." b. "If I lose weight, my infertility and irre-gular periods could resolve without medi-cations." c. "Metformin improves insulin sensitivity and reduces male hormone levels." d. "Spironolactone, which reduces androgens and facial hair, is helpful if I'm trying to conceive."
A patient with myocardial infarction is treated with intravenous morphine sulfate for chest pain. Which nursing action has the highest priority when administering this medication?
1. Determine the patient's sedation level. 2. Check breath sounds every 15 minutes. 3. Observe for signs of opioid addiction. 4. Assess for medication infiltration into tissues.
The client has a cerebellar lesion. The nurse would plan to obtain which of the following for use by this client?
1. Walker 2. Slider board 3. Raised toilet seat 4. Adaptive eating utensils
The significance of the atrial kick is that it affects the contraction of the:
a. Right atria, which is necessary to open the tricuspid valve. b. Right atria, which is necessary to increase the blood volume from the vena cava. c. Left atria, which increases the blood volume into the ventricle. d. Left atria, that is necessary to open the mitral valve.