A client with Alzheimer's disease requires coaching to bathe and dress, wanders aimlessly
throughout the home, displays mood fluctuations from pleasant to irritable, and becomes easily
frustrated when performing simple tasks.
Which behavior should the nurse assess as an example of
cognitive impairment?
a. Inability to bathe and dress independently
b. Wandering
c. Mood lability
d. Ease of frustration
A
Inability to bathe and dress suggests apraxia, the loss of purposeful movement in the absence of
motor or sensory impairment. The other symptoms are less directly attributable to loss of cortical
function.
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The nurse counsels the 30-year-old woman with type 2 diabetes who is overweight and noncompliant that control of diabetes would most improve if she were to:
a. lose weight. b. take more Glucophage. c. eat a high-protein diet. d. take insulin.
The nurse is planning care for a client with late-phase septic shock. All of the following treatments have been prescribed. Which prescription does the nurse question?
a. Enoxaparin (Lovenox) 40 mg subcutane-ous twice daily b. Transfusion of 2 units of fresh frozen plasma c. Regular insulin intravenous drip per pro-tocol d. Cefazolin (Ancef) 1 g IV every 6 hours
Six drams equals ________ teaspoon(s)
A. 1 B. 12 C. 6 D. 0.5
The nurse is admitting a school-age Vietnamese client who hit a parked car while riding a bike. The child has a fracture of the left radius and femur in addition to a fractured orbit. The child is stoic and denies pain
Which nursing actions are most appropriate in this situation? 1. Use the FLACC scale to determine the child's pain level. 2. Tell the child to ring the call bell if the leg starts hurting. 3. Administer pain medication now and continue on a regular basis. 4. Ask the child's parents to notify the nurse if the child complains of pain. 5. Use the NIPS scale to determine the child's pain level.