A client who can still make decisions has been diagnosed as having early stage Alzheimer's disease. The nurse suspects that a low priority goal for the client and family involves which of the following?
1. Deciding on the desired treatment and selecting a healthcare proxy; sharing the treatment decision with the healthcare proxy
2. Beginning cognitive-enhancing medication, such as cholinesterase inhibitors
3. Setting up the least restrictive protective physical environment in the home
4. Resolving grief over the diagnosis
4. Resolving grief over the diagnosis
Rationale:
Grieving over the diagnosis and loss of functioning and mental abilities will be an ongoing process for the client and the family members and is therefore a low priority goal. While the client is still cognizant, it is important that the client and family discuss the desired treatment and designate a healthcare proxy to carry out the client's wishes regarding the treatment. Clients with early Alzheimer's disease should start the cholinesterase inhibitor medication as soon as possible to extend the early stage of the disease. During this time period, the home environment should be modified to balance safety with client autonomy.
You might also like to view...
The nurse is discussing vitamins and minerals with the vegan parents of a toddler
The parents are concerned about their child getting enough of this micronutrients, and ask the nurse what micronutrients should they try to supplement into the diet based on their diet?(Select all that apply) 1. Thiamine 2. Cobalamin 3. Vitamin D 4. Vitamin E 5. Calcium
A set of learned values, beliefs, customs, and practices shared by a group is referred to as:
a. race. b. ethnicity. c. culture. d. religion.
The nurse is beginning the physical examination of a client with a complaint of fatigue. What documentation will the nurse provide to describe this general appraisal of the client's health?
A) The client appears mildly ill, listless, and disheveled. B) The client has a blood pressure of 120/72 mm Hg. C) The client is alert and oriented to all spheres. D) The client has palpable peripheral pulses in the upper extremities.
The LPN/LVN must be aware that digitalis can cause toxicity, but it can also cause hormonal effects in male patients. Select the hormonal problems this medication can cause a male patient
1. Increased appetite and weight gain. 2. Swelling in the legs and feet. 3. Gynecomastia and tender breasts. 4. Discoloration around the neck and eyes.