A client with Alzheimer's disease is admitted to the acute care facility for treatment of an infection. Assessment reveals that the client is anxious
When developing the client's plan of care, which of the following would be least appropriate to include?
A) Frequently provide reality orientation.
B) Simplify the client's routines.
C) Limit the number of choices to be made.
D) Establish predictable routines.
A
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A patient's new onset of dysphagia has required insertion of an NG tube for feeding; the nurse has modified the patient's care plan accordingly. What intervention should the nurse include in the patient's plan of care?
A) Confirm placement of the tube prior to each medication administration. B) Have the patient sip cool water to stimulate saliva production. C) Keep the patient in a low Fowler's position when at rest. D) Connect the tube to continuous wall suction when not in use.
The nurse is instructing a community education class on stress. The nurse asks the participants, "Is all stress bad for you?" Which answer, by the participants, is most accurate?
A) "Yes, all stress has negative effects on the body systems." B) "Yes, all stress is bad but in varying degrees depending on the nature." C) "No, not all stress is bad, but all stress can make a person sick." D) "No, the right amount of stress can be motivating to accomplish goals."
Mrs. Gilbert, a 72-year-old patient with congestive heart failure, states that she is fatigued and often feels faint when trying to get up and walk. She currently takes digitoxin and Lasix (furosemide). What is the most likely cause of her problem?
A) Dimished blood flow to the brain B) Dimished blood flow to the extremities C) Hypokalemia D) Hyperkalemia
A client has been admitted to the inpatient psychiatric facility as part of a court-ordered program
The client was arrested numerous times over the past several months for exposing his genitals and masturbating in public in front of an elementary school. The nurse interprets this behavior as reflecting which of the following? A) Frotteurism B) Exhibitionism C) Sexual masochism D) Voyeurism