The nurse differentiates vascular dementia from Alzheimer dementia. Which causative factor is responsible for vascular dementia?
a. Cerebral atrophy
b. Global reduction of cognition
c. Hypertension
d. Emboli in cerebral vessels
D
Vascular dementia occurs from brain tissue becoming hypoxic and necrotic in local areas due to small emboli. The deficits may be intellectual or loss of sensory function.
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A client presents to the clinic with a swollen arm lesion that contains old blood and a sunken-in center. Which question by the nurse yields the most useful information?
a. "Have you traveled out of the country re-cently?" b. "What do you do for a living or for hob-bies?" c. "Do you hike or engage in outdoor activi-ties?" d. "Are you exposed to places where spiders might be?"
The school nurse notes that an 8-year old often comes to school without a lunch. He is frequently tired and dizzy. He often complains of a stomachache
The nurse suspects the boy's family does not have the resources to purchase meals from the cafeteria. After talking with his parents, the nurse learns that their work schedules make preparing meals difficult. The nurse encourages the child's parents to apply for: a. National School Lunch Program b. Summer Lunch Program c. School Breakfast Program d. All of the above
A client was admitted to the ICU after a motor vehicle accident. She sustained a right parietal injury, resulting in an acute confusional state or delirium. She complains that there are "bugs crawling around" on her arms. The nurse understands what?
A) Such hallucinations suggest preexisting schizophrenia. B) Transient tactile hallucinations are sometimes seen in delirium. C) Such symptoms indicate increasing brain damage and poor prognosis. D) The client is more prone to such episodes early in the morning.
The normal adult temperature obtained through the oral route ranges from:
A) 96.6°–98.6° F B) 97.6°–99.6° F C) 98.6°–100.4° F D) 98.2°–100.2° F