At what time during a 24-hour period should a nurse expect clients with Alzheimer's disease to exhibit more pronounced symptoms?

A. When they first awaken
B. In the middle of the night
C. At twilight
D. After taking medications


ANS: C
The nurse should determine that clients with Alzheimer's disease exhibit more pronounced symptoms at twilight. Sundowning is the term used to describe the worsening of symptoms in the late afternoon and evening.

Nursing

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The nurse is initiating the transfer of a critically ill patient from one agency to another. During the first phase of this transfer, what is the most important nursing responsibility?

A) Ensure that appropriate care equipment is available in the transfer vehicle. B) Determine the willingness of the receiving agency to accept the patient. C) Give the family detailed directions to the receiving agency. D) Copy the patient's medical records to accompany him or her.

Nursing

What is the role of the atrioventricular node in a person with normal heart rate (60 to 100 bpm) and why?

A) Acts as primary pacemaker, to establish the heart rate B) Accelerates conduction of atrial action potentials so that all ventricular cells contract almost simultaneously C) Delays conduction of atrial action potentials so that all ventricular cells contract almost simultaneously D) Pumps sodium out of the myocardial cell and potassium into it to cause cell membrane depolarization

Nursing

One of the criticisms of the scientific method is that it is overly:

A) Logical B) Deterministic C) Empirical D) Reductionist

Nursing

Why is laparoscopic cholecystectomy preferred by surgeons over an open procedure?

A) Surgical risks are fewer. B) It takes less time. C) The surgeon can perform more surgeries each day. D) Laparoscopic procedures take more time to heal.

Nursing