A nurse develops a plan of care for an older adult recently diagnosed with Lewy body dementia. Which functional consequence would be most important to monitor in this older adult?
A) Development of visual hallucinations
B) A visual acuity score of 20/30
C) Improved visual acuity after medications for dementia
D) Growth of cataracts
Ans: A
Persons with Lewy body dementia are at risk for visual hallucinations. Low vision is 20/70 visual acuity to 20/200 visual acuity. Visual acuity will not improve with dementia medications, as anticholinergics also impair vision. Cataracts are unrelated to Lewy body dementia, although they are common in all older adults.
You might also like to view...
The nurse is observing the interaction between a mother and schizophrenic son. The son states, "The person visiting me said you went on vacation without me." The mother replied, "There is no man, you are just making that up
" When interacting with the mother privately, which reply from the mother would the nurse suggest? A) "I am not on vacation. I am here with you." B) "How can I go on vacation. I do not have any money." C) "Stop saying that. You know better. No one told you that." D) "Just forget about that and let's talk about something else."
The primary caregiver for a patient with stage 3 Alzheimer disease receiving care in the home wants to attend a granddaughter's high school graduation in a city 50 miles from the patient's home
What should the home care nurse suggest so that the caregiver can attend this event? 1. Admit the patient to hospice. 2. Schedule respite care for the caregiver. 3. Admit the patient to an inpatient facility. 4. Transport the patient with the caregiver to the graduation.
You are assigned to Mrs. Gibbs, who has a diagnosis of Schizophrenia. When you talk about your clinical experiences with her in post-conference, you should refer to her as a:
A) Committed patient. B) Schizophrenic. C) Schizophrenic patient. D) Person with schizophrenia.
Which of the following assessment findings best supports the nursing diagnosis of pain in right knee joint related to degenerative process?
1. Paternal family history of osteoarthritis has been reported. 2. Client is observed grimacing when walking to bathroom. 3. Right knee appears edematous when compared to left knee. 4. Client rated the pain felt after walking at a 6 on a scale of 1 to 10.