A client has been recently diagnosed with Alzheimer's disease. When teaching the family about the prognosis, the nurse must explain that:
1. Diet and exercise can slow the process considerably
2. Few clients live more than 3 years after the diagnosis
3. Many individuals can be cured if the diagnosis is made early
4. It usually progresses gradually with a deterioration of function
ANS: 4
Alzheimer's disease usually progresses gradually with a deterioration in function. Medications, not diet and exercise, can slow the process of Alzheimer's disease considerably. Clients may live years after the diagnosis of Alzheimer's disease. There is no cure for Alzheimer's disease but medications can be given to slow the progression of symptoms.
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A nurse has just been told by a friend that her physician has recommended a hysterectomy for fibroids in her womb. Which of the following would be the most appropriate response by the nurse?
a. "Hysterectomies are the most common surgical procedure done on women; you'll be fine." b. "Tell your doctor to remove your ovaries as well so you will never have to worry about ovarian cancer." c. "There are other alternatives. Why don't you seek a second opinion just to be sure a hysterectomy is best for you?" d. "Uterine fibroids are very common so don't feel badly; you've already had your children, so there's no reason to keep your uterus."
A 70-year-old patient with severe presbycusis is weighing the possibility of getting hearing aids
The nurse who is contributing to this patient's care should be aware that the patient's potential benefit of using hearing aids will depend upon which of the following factors? A) The patient's ability to supplement the hearing aid with speech reading B) The patient's ability to adequately discriminate sounds C) The patient's level of motivation to hear more clearly D) The patient's level of personal hygiene
The patient is returning to the unit with a wet long leg cast. To prevent damage to the wet cast, the nurse should: (Select all that apply.)
a. determine the cast material. b. prop the casted limb on a footboard to elevate it until the cast is dry. c. support the cast with the palms of the hands rather than holding it with the fin-gers. d. assess heat generated from the drying cast. e. explain that the cast has dried when it ac-quires a grayish color.
The parents of a preterm newborn wish to visit their baby in the NICU. A statement by the nurse that would not support the parents as they visit their newborn is:
1. "Your newborn likes to be touched." 2. "Stroking the newborn will help with stimulation." 3. "Visits must be scheduled between feedings." 4. "Your baby loves her pink blanket."