A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?

Encourage physical activity prior to bedtime

Wear clothing with zippers instead of buttons.

Replace the carpet with hardwood floors

Place locks at the tops of exterior doors.

Answer and Explanation

The Correct Answer is D

Rationale:

A. Encourage physical activity prior to bedtime: Stimulating activity close to bedtime can increase agitation and make it harder for clients with Alzheimer’s disease to settle for sleep. Calming routines in the evening are more appropriate to reduce nighttime confusion and restlessness.

B. Wear clothing with zippers instead of buttons: Although zippers are often easier than buttons, clients with Alzheimer’s may have difficulty with any fasteners. Simple clothing with Velcro or elastic waists is typically more suitable to promote independence.

C. Replace the carpet with hardwood floors: Carpets provide traction and cushioning, which can help prevent injuries from falls. Hardwood floors may be slippery or cause confusion due to glare or unfamiliar patterns, increasing fall risk.

D. Place locks at the tops of exterior doors: Clients with Alzheimer’s are at risk for wandering. Installing locks at the tops of doors—out of the client's usual line of sight—helps prevent elopement while preserving safety in the home environment.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

Rationale:

A. Rolls from back to side: This is typically the first gross motor milestone among the listed options and usually occurs around 4 months of age. It marks early trunk and upper body control development.

B. Rolls from back to abdomen: Rolling from back to abdomen requires more strength and coordination and generally occurs around 5 to 6 months of age, following the ability to roll to the side.

C. Sits steadily unsupported: Infants begin sitting without support around 7 to 8 months, once they develop adequate trunk and head control. This milestone represents a major progression in balance and posture.

D. Changes from prone to sitting: Transitioning from a prone to a sitting position typically develops around 9 to 10 months. It involves coordinated control of the arms, trunk, and legs and reflects advanced gross motor skill development.

A. Provide a diet high in protein and calories. B. Trim the fat from red meat prior to cooking. C. Give the child hot foods to reduce the sense of fullness D. Administer pancreatic enzymes 30 min after meals.

Correct Answer is A

Explanation

Rationale:

A. Provide a diet high in protein and calories: Children with cystic fibrosis require increased caloric and protein intake due to higher metabolic demands and malabsorption. A high-protein, high-calorie diet supports growth and energy needs, helping to compensate for nutrient loss.

B. Trim the fat from red meat prior to cooking: Fat should not be unnecessarily restricted in the diet of a child with cystic fibrosis. These children need extra fat for energy, and fat-soluble vitamin absorption is often impaired despite enzyme replacement.

C. Give the child hot foods to reduce the sense of fullness: There is no evidence that temperature of food affects satiety in children with cystic fibrosis. The focus should remain on maximizing caloric intake, regardless of food temperature preferences.

D. Administer pancreatic enzymes 30 min after meals: Pancreatic enzymes should be given immediately before or with meals and snacks to aid digestion. Delaying administration reduces their effectiveness and can lead to malabsorption and gastrointestinal symptoms.

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A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is preparing to teach the parents of a child who has cystic fibrosis. Which of the following instructions should the nurse plan to include?

Correct Answer is A

Explanation

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