A nurse is caring for a client who has dementia. Which of the following findings should the nurse expect?

Memory loss that disrupts ADLs

Catatonia

Illusions

Pressured speech

Answer and Explanation

The Correct Answer is A

Dementia is a condition characterized by a decline in cognitive function that aﬀects a person's ability to perform activities of daily living (ADLs). Memory loss is a common symptom of dementia, particularly in the early stages. Memory loss can disrupt a person's ability to carry out tasks they were previously able to do independently, such as dressing, bathing, and eating. Therefore, option A is the correct answer.

Option b, catatonia, is a condition characterized by a lack of movement or activity, which is not typically associated with dementia.

Option c, illusions, involve a misinterpretation of sensory information and may occur in some forms of dementia but are not a defining feature.

Option d, pressured speech, is a symptom commonly associated with mania or bipolar disorder but is not typically seen in dementia.

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Correct Answer is A

Explanation

The client should choose a clean, dry, hairless area of skin to apply the patch. It is important to rotate the application site to avoid skin irritation and ensure consistent drug absorption. The patch should be replaced every 24 hours, not every 12 hours. If the client experiences a headache, it is not necessary to remove the patch, as headaches can be a common side effect of nitroglycerin use. Applying the patch in the same place every day can lead to skin irritation and decreased absorption.

A. "I understand that immunizations will be withheld if my child has lactose intolerance." B. "I can make several office visits, so my child does not get so many immunizations at once." C. "It is recommended that my child receive his first flu immunization at the age of 6." D. "My child will need to start the human papillomavirus series when he enters kindergarten."

Correct Answer is B

Explanation

This statement demonstrates an understanding of the concept of spacing out immunizations to reduce the number of shots given during a single visit. By making multiple office visits, the parent can ensure that their child receives the recommended immunizations while minimizing the number of injections at each visit.

Lactose intolerance is not a contraindication to receiving immunizations. Most vaccines do not contain lactose, and even if they do, the amount present is typically minimal and not expected to cause an adverse reaction in individuals with lactose intolerance.

The first flu immunization is typically recommended for children starting at 6 months of age, not at 6 years of age.

The human papillomavirus (HPV) vaccine is typically recommended for preteens and adolescents, usually starting between the ages of 11 and 12. It is not typically administered when a child enters kindergarten.

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A nurse is caring for a client who has dementia. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for transdermal nitroglycerin patches. Which of the following statements indicates an understanding of the teaching?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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