A client diagnosed with vascular dementia is discharged to home under the care of his wife. Which information should cause the nurse to question the client's safety?

Question

A. His wife works from home in telecommunication.
B. The client has worked the night shift his entire career.
C. His wife has minimal family support.
D. The client smokes one pack of cigarettes per day.

Answer 1

D
Forgetfulness is an early symptom of dementia that would alert the nurse to question the client's safety at home if the client smokes cigarettes. Vascular dementia is a clinical syndrome of dementia due to significant cerebrovascular disease. The cause of vascular dementia is related to an interruption of blood flow to the brain. High blood pressure and hypertension are significant factors in the etiology.