The nurse is performing an assessment of a new client admitted to a long-term facility with a diagnosis of Alzheimer's disease (AD). Which of the following common symptoms of the disease would the nurse suspect? Select all answers that apply
A) Memory loss
B) Personality changes
C) Self-care deficits
D) Self-violence
E) Weight gain
F) Dysrhythmias
A, B, C
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The following are the most common symptoms of AD: memory loss, inability to learn and retain new information, loss of judgment and planning skills, personality and mood changes, decreased reasoning and abstract thinking skills, loss of language skills, and inability to care for self.
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An adult man is admitted after a motor vehicle accident complaining of chest pain, shortness of breath, and distended neck veins. The nurse notes that the pulse pressure is narrowing. The patient may be experiencing:
A) Myocardial infarction B) Cardiac tamponade C) Heart failure D) Pulmonary edema
The nurse is determining the effectiveness of community empowerment efforts. What should the nurse use as the final measure for this effectiveness?
1. Budget was not overspent. 2. Community members were included in policy making. 3. Initial data was shown to be reliable. 4. Time schedules were met.
The nurse is concerned that a patient with type 1 diabetes mellitus is at risk for developing diabetic ketoacidosis. What did the nurse assess to come to this conclusion?
1. reports of anxiety 2. pale, cool skin 3. serum glucose level of 325 mg/dL 4. ulcer on plantar aspect of right foot
A client with dementia is sleeping throughout the day at the nursing home. The client is most likely exhibiting which of the following?
A) Agnosia B) Sundown syndrome C) Confabulation D) Preservation