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

Hemoglobin and hematocrit

Liver function tests

Kidney function tests

Serum sodium and potassium

Answer and Explanation

The Correct Answer is D

A. Hemoglobin and hematocrit are important but not the focus in Alzheimer’s care unless anemia is suspected.

B. Liver function tests are not typically monitored unless the client is on hepatotoxic medications.

C. Kidney function tests are essential if there are concerns about hydration or medication clearance but are not routine in Alzheimer's care.

D. Monitoring serum sodium and potassium is critical as imbalances can lead to confusion, agitation, and worsening cognitive symptoms.

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Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"}}

Explanation

Finding	Preeclampsia	HELLP syndrome
Blood pressure	✓	✓
Elevated alanine aminotransferase (ALT)		✓
Platelet count		✓
Hemoglobin		✓

Rationale:

Preeclampsia: Characterized by hypertension and proteinuria.

HELLP syndrome: A severe form of preeclampsia, characterized by hemolysis, elevated liver enzymes (ALT, AST), and low platelet count.

A. Exclude nutritional supplements from the list of medications the client reports. B. Encourage the client to make his own list after he returns to his home. C. Compare new prescriptions with the list of medications the client reports. D. Include any adverse effects of the medications the client might develop.

Correct Answer is C

Explanation

A. Exclude nutritional supplements from the list of medications the client reports: Incorrect. Nutritional supplements are medications and should be included in the medication reconciliation process.

B. Encourage the client to make his own list after he returns to his home: Incorrect. The nurse should be responsible for gathering the complete medication history upon admission, not relying on the client’s list from home.

C. Compare new prescriptions with the list of medications the client reports: This is the correct step in medication reconciliation. The nurse needs to ensure that new medications are compatible with the client's current medications and review any changes.

D. Include any adverse effects of the medications the client might develop: Incorrect. Adverse effects are not part of the medication reconciliation process; the focus is on identifying all current medications, including prescriptions, over-the-counter drugs, and supplements.

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

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Naxlex Comprehensive Predictor Exams

The nurse is continuing to care for the client. Exhibits The nurse is reviewing the assessment findings. For each assessment finding, click to specify if the finding is consistent with preeclampsia or HELLP syndrome. Each finding may support more than one disease process.

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"}}

Explanation

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Correct Answer is C

Explanation

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