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A nurse is caring for a client who has Alzheimer's disease and is confused.
Which of the following actions should the nurse take?.

A.

Keep the television on at all times.

B.

Hang abstract pictures on the walls.

C.

Keep familiar personal items in client's room.

D.

Encourage bright lighting in the room.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Keeping the television on at all times can increase confusion and agitation in clients with Alzheimer’s disease due to the constant noise and changing images.

Choice B rationale:

Abstract pictures can be confusing and disorienting for clients with Alzheimer’s disease. It’s better to use simple, familiar images.

Choice C rationale:

Keeping familiar personal items in the client’s room can help orient the client to their surroundings and decrease confusion.

Choice D rationale:

Bright lighting can help reduce confusion and agitation in clients with Alzheimer’s disease by making the environment clear and easy to navigate.

So, the correct answer is C. Keep familiar personal items in client’s room.


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Related Questions

Correct Answer is ["10"]

Explanation

Step 1: Determine the Medication Concentration

  • The total amount of medication in the solution is 250 mg.
  • The total volume of the solution is 5 mL.
  • To find the concentration per mL:
    250 mg ÷ 5 mL = 50 mg/mL

Step 2: Determine the Required Volume

  • The prescribed dose is 500 mg.
  • To find the volume needed:
    500 mg ÷ 50 mg/mL = 10 mL

Thus, the nurse should administer 10 mL of the solution to deliver the required 500 mg dose.

Correct Answer is D

Explanation

Choice A rationale:

Switching brands of phenytoin can lead to variations in drug absorption and serum drug levels, potentially leading to a loss of seizure control or toxicity. Therefore, this is not a correct instruction.

Choice B rationale:

Altering the phenytoin administration regimen each week can lead to fluctuations in serum drug levels, potentially leading to a loss of seizure control or toxicity. Therefore, this is not a correct instruction.

Choice C rationale:

Phenytoin does not turn urine blue. This is a side effect associated with some other medications, but not phenytoin. Therefore, this is not a correct instruction.

Choice D rationale:

Alcohol can increase serum phenytoin levels, potentially leading to toxicity. Therefore, this is a correct instruction.

So, the correct answer is D. Alcohol increases the chance of phenytoin toxicity.

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