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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?

Encourage physical activity prior to bedtime.

Replace the carpet with hardwood floors.

Wear clothing with zippers instead of buttons.

Place locks at the tops of exterior doors.

Answer and Explanation

The Correct Answer is D

A. Physical activity should be scheduled earlier in the day to prevent overstimulation and promote restful sleep.

B. Hardwood floors increase the risk of falls; carpets provide better traction and cushioning.

C. Zippers can be difficult for clients with Alzheimer's; clothing with Velcro or simple fasteners is preferred.

D. Placing locks at the tops of doors reduces the risk of wandering, a common safety concern in clients with Alzheimer's.

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Correct Answer is B

Explanation

A. Low-protein supplements are not recommended; high-protein, high-calorie foods are encouraged to maintain nutrition.

B. Cold foods are often more tolerable for clients experiencing anorexia, as they are less odorous and may help reduce nausea.

C. Serving the largest meal in the evening is inappropriate as appetite typically decreases later in the day; it’s better to serve meals when the client feels most hungry.

D. Drinking large amounts of fluid with meals can lead to early satiety, reducing overall intake.

A. Offer the client three large meals each day. B. Administer a bronchodilator after meals. C. Limit fluid intake with meals. D. Ambulate the client before each meal.

Correct Answer is C

Explanation

A. Offer three large meals: Small, frequent meals are better tolerated.

B. Administer a bronchodilator after meals: Should be given before meals.

C. Limit fluid intake with meals: Reduces gastric distension and improves calorie intake.

D. Ambulate before meals: May increase fatigue and reduce intake.

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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?

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