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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
Daily weights: This task can be delegated to ensure consistent monitoring of the client's weight, which is crucial for assessing nutritional status and progress.
Observing meals: The nurse should focus on observing meals to ensure the client is eating properly and not engaging in behaviors such as pocketing food or spitting it out, which are common in clients with eating disorders.
Correct Answer is ["6"]
Explanation
Step 1: Calculate the desired dose per minute.
Desired dose = 4 mcg/kg/min * 80 kg = 320 mcg/min
Step 2: Convert mcg/min to mg/hr.
320 mcg/min * 60 min/hr = 19200 mcg/hr = 19.2 mg/hr
Step 3: Calculate the concentration of dopamine in the solution.
Concentration = 800 mg / 250 mL = 3.2 mg/mL
Step 4: Calculate the volume to be infused per hour.
Volume/hr = Dose rate (mg/hr) / Concentration (mg/mL)
Volume/hr = 19.2 mg/hr / 3.2 mg/mL = 6 mL/hr
Therefore, the nurse should set the IV infusion to deliver 6 mL/hr.
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