A client has Alzheimer dementia. Her husband of 50 years is no longer able to safely care for her at home, so he has placed her in an extended care facility. When her husband visits her, she smiles and talks about their many travels around the world
Intrigued, a nurse asks the client's husband to describe their travels. He laughs and says, "We've never been out of the United States." The nurse instructs the husband that the client's tales are an example of:
A) Aphasia.
B) Confabulation.
C) Delirium.
D) Apraxia.
B
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The nurse is caring for a patient with metabolic acidosis secondary to renal failure caused by poor glucose regulation. The patient reports a headache, weakness, and nausea
The nurse assesses an elevated blood sugar, Kussmaul breathing, and peripheral vasodilation. What collaborative interventions will the nurse anticipate to restore pH balance? Select all that apply. a. Insulin to lower blood sugar b. Tylenol for headache c. Mechanical ventilation to correct breathing d. Dialysis to remove toxins e. Bicarbonate administration
ANS: C Children with SCA have impaired kidney function and cannot concentrate urine. Parents are taught signs of dehydration and ways to minimize loss of fluid to the environment. Encouraging drinking is not specific enough for parents. The nurse should g
a. It is an acquired hemolytic anemia. b. Inadequate numbers of red blood cells (RBCs) are present. c. Increased incidence occurs in families of Mediterranean extraction. d. It commonly occurs in individuals from West Africa.
During the admission assessment the patient states, "I am allergic to morphine." Which response by the nurse is the priority?
1) "I will note this on your chart and we will be sure not to use this if you are in pain." 2) "I will ask your doctor to prescribe diphenhydramine, which will allow us to administer morphine safely." 3) "What medication can you take for pain that you are not allergic to?" 4) "What symptoms did you experience when you were given morphine?"
The nurse is preparing short-acting and long-acting insulin for administration to a client. The purpose for the client's being prescribed these types of insulin would be to:
1. make it easier for the client to self-administer the insulin. 2. reduce the client's appetite. 3. mimic the body's own insulin pattern. 4. help reduce the client's body weight.