A client is diagnosed in stage seven of AD. To address the client's symptoms, which nursing intervention should take priority?
1. Improve cognitive status by encouraging involvement in social activities.
2. Decrease social isolation by providing group therapies.
3. Promote dignity by providing comfort, safety, and self-care measures.
4. Facilitate communication by providing assistive devices.
3
Rationale: The most appropriate intervention in the seventh stage of AD is to promote the client's dignity by providing comfort, safety, and self-care measures. Stage is characterized by severe cognitive decline in which the client is unable to recognize family members and is most commonly bedfast and aphasic.
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The nurse suspects that a child has ingested some type of poison. What clinical manifestation would be most suggestive that the poison was a corrosive product?
a. Tinnitus b. Disorientation c. Stupor, lethargy, and coma d. Edema of the lips, tongue, and pharynx
The nurse is assessing a patient who experienced a cerebrovascular accident (CVA) 24 hours ago. The patient does not have a gag reflex. Which conclusions by the nurse are appropriate based on this data? Select all that apply
1) Damage to cranial nerve IX 2) Damage to cranial nerve X 3) Risk for aspiration 4) Potential malignancy 5) Herpes simplex virus
A 19-year-old woman comes to the gynecologist's office. When the nurse asks the reason for this visit, the woman explains that she has never had a menstrual period and that she is concerned there may be something wrong
The diagnosis that the physician is most likely to make based on this information is: A. Primary dysmenorrhea. B. Secondary infertility. C. Primary amenorrhea. D. Secondary amenorrhea.
The nurse researcher investigates the morbidity rate in the United States. Which statement accurately reflects this concept?
A) Morbidity measures the prevalence of a specific illness in a population at a particular time. B) Morbidity is presented in rates per 100,000 population. C) Morbidity statistics are revised more frequently because of the ease in defining or obtaining the information. D) In general, 76% of children in the United States enjoyed excellent health and 27% had very good health in a 2007 report.