A nurse is caring for a client who has Alzheimer's disease and is confused.
Which of the following actions should the nurse take?.
Keep the television on at all times.
Hang abstract pictures on the walls.
Keep familiar personal items in client's room.
Encourage bright lighting in the room.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is: C. Avocados.
Choice A reason: Milk, especially when fresh and not aged, is generally low in tyramine. The tyramine content in milk does not significantly increase unless the milk is fermented or nearing expiration. Therefore, 2 % milk is considered a safe option for individuals taking MAOIs.
Choice B reason: Fresh fruits like apples are typically low in tyramine. However, as fruits ripen or become overripe, their tyramine content can increase. Since the question specifies “sliced apples,” which are likely to be fresh, they would not have a high tyramine content and are considered safe for someone on MAOIs.
Choice C reason: Avocados, particularly if they are overripe, contain higher levels of tyramine compared to other foods listed. Overripe avocados can have a tyramine content that is high enough to be of concern for individuals taking MAOIs, making them the food choice with the highest tyramine content among the options provided.
Choice D reason: Celery is a low-tyramine food and is safe for consumption by individuals on MAOI therapy. There is no significant increase in tyramine content in celery, even as it ages, making it a suitable option for those with dietary restrictions related to MAOIs.
Correct Answer is B
Explanation
Choice A rationale:
Constipation is not a common side effect of lithium carbonate.
Choice B rationale:
Thyroid enlargement is a known side effect of lithium carbonate. Lithium can cause hypothyroidism, which may result in an enlarged thyroid.
Choice C rationale:
Hyporeflexia is not typically associated with lithium carbonate use.
Choice D rationale:
Elevated blood pressure is not a common side effect of lithium carbonate.
So, the correct answer is B.
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