The client with Alzheimer's disease (AD) has become disoriented as to time, place, and events. The client also has begun to experience speech deficits and incontinence. How would the nurse interpret these findings?
A. The client is in stage I.
B. The client is in stage II.
C. The client is in stage III.
D. The client is in stage IV.
B
Stage II, or the middle stage of AD, is characterized by complete disorientation to time, place, and events. The client develops speech and language difficulties, as well as incontinence.
You might also like to view...
A graduate nurse (GN) is orienting to her new position on a telemetry floor
The graduate nurse's preceptor identifies that the novice nurse will need additional instruction on standard precautions when she observes which of the following behaviors? A) The GN wears face protection, gloves, and a gown when irrigating a wound. B) The GN washes her hands with a waterless antiseptic agent after removing a pair of soiled gloves. C) The GN puts on a second pair of gloves over her soiled gloves while performing a bloody procedure. D) The GN places a used needle and syringe in the puncture-resistant container without capping the needle.
The nurse realizes that a major time of development that produces change in body image is:
a. toddlerhood. c. adolescence. b. preschool age. d. young adulthood.
A nurse just accepted a position in community health and has been assigned to a neighborhood very close to where she lives. Which of the following best describes the rationale for this assignment?
a. To allow participant observation by the nurse b. To ensure that the nurse would care about her intervention outcomes c. To maximize convenience and minimize commuting time for the nurse d. To save gasoline in these difficult economic times
A client with epilepsy who has been seizure free and prescribed phenytoin (Dilantin) asks the nurse why he or she needs to still have blood testing. Which response should the nurse provide the client?
A. "Phenytoin (Dilantin) has a very narrow range between a therapeutic dose and a toxic dose." B. "Phenytoin (Dilantin) can cause blood-thinning in some patients." C. "Phenytoin (Dilantin) can cause Stevens-Johnson syndrome, which can be detected through blood testing." D. "Phenytoin (Dilantin) can deplete your system of potassium."