A client diagnosed with AD has impairments of memory and judgment and is incapable of performing activities of daily living. Which nursing intervention should take priority?
1. Present evidence of objective reality to improve cognition.
2. Design a bulletin board to represent the current season.
3. Label the client's room with name and number.
4. Assist with bathing and toileting.
4
Rationale: The priority nursing intervention for this client is to assist with bathing and toileting. A client who is incapable of performing activities of daily living requires assistance in these areas to ensure health and safety.
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A family learns that there is a strong potential for a severe storm but does not go to the storm cellar. In which stage of a disaster is this family functioning?
1. Nondisaster stage. 2. Predisaster stage. 3. Impact stage. 4. Emergency stage.
A client comes to the outpatient clinic to receive cortisone injections in the neck for pain that has been occurring consistently for 8 months. What type of pain is this client experiencing?
A) Referred pain B) Neuropathic pain C) Acute pain D) Chronic pain
A -year-old child who has been receiving high-dose systemic glucocorticoids for several months comes to a clinic for school immunizations, which usually include the DTaP vaccine; varicella virus vaccine [Varivax]; the measles, mumps, and rubella
virus (MMR) vaccine; and the inacti-vated poliovirus vaccine (IPV). The clinic nurse will expect to administer which vaccines to this child? a. All four school immunizations b. DTaP and IPV only c. DTaP, OPV, and Varivax only d. DTaP and IPV, along with immunoglobu-lins
A client who is in week 28 of gestation is concerned about her weight gain of 17 lb. Which is the nurse's best response?
a. "You should not gain any more weight until you reach the third trimester." b. "You should try to decrease your amount of weight gain for the next 12 weeks." c. "You have not gained enough weight for the number of weeks of your pregnancy." d. "You have gained an appropriate amount for the number of weeks of your pregnancy."