A nurse is scheduled to receive a new client with stage 2 Alzheimer disease. When planning for this client's care, the nurse recalls that the symptom most associated with stage 2 of Alzheimer disease is:
A) Mild memory loss.
B) Disorientation concerning time and events.
C) Disorientation concerning persons, places, or things.
D) A reduction in the gag and swallowing reflex.
A
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The nurse is caring for a new mother who received atropine before undergoing a laparoscopic tubal ligation. The patient tells the nurse that she is breast-feeding her baby and asks whether she can breast-feed when she gets home
What is the nurse's best response? A) "You can breast-feed when you get home because the drugs given before surgery will be out of your system." B) "You can breast-feed as soon as you get home because atropine will not cross into the breast milk." C) "Discard all breast milk for the next week and feed the baby formula before returning to breast-feeding." D) "Discard all breast milk for the next 24 hours and feed formula until tomorrow when you can nurse your baby."
The nurse makes certain that a client, who is Catholic, is able to attend Mass on Sunday. The nurse had determined the client's religious practices from the assessment. This is an example of:
A) Ethnocentrism. B) Differential treatment based on spiritual beliefs. C) Culturally competent care. D) Cultural blindness.
Ordered: triazolam 0.25 mg po HS stat, for an agitated patient. Available:
a. Estimate: b. DA verification: c. Evaluation:
The patient post–total knee replacement is preparing to be discharged. The patient tells the case manager, "I feel pretty good, but I am having a hard time getting in and out of the bathroom
" What is the case manager's most appropriate response? a. "I'll be sure to teach your family how to help you with this." b. "Once you are home for a while, it will get easier." c. "I can have a recreational therapist help you take your mind off your concerns." d. "An occupational therapist can be ordered to assist you in this area."