A nurse is caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?
Prion disease
Lewy body disease
HIV infection
Traumatic brain injury
The Correct Answer is B
B. Fluctuating cognition and visual hallucinations are characteristic features of Lewy body dementia (LBD). LBD is a type of dementia that involves abnormal protein deposits called Lewy bodies in the brain. These deposits can cause fluctuations in cognitive abilities, leading to periods of clarity alternating with confusion or disorientation. Visual hallucinations are also common in LBD, often involving seeing people, animals, or objects that are not present.
A. Prion diseases are not commonly associated with fluctuating cognitive function.
C. HIV infection can cause a range of neurological complications, but they usually manifest differently from the symptoms described in the scenario.
D. Symptoms of TBI-related dementia would depend on the severity and location of the brain injury, but they often involve cognitive deficits consistent with the area of brain damage
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. It acknowledges the client's request and communicates that their request will be addressed in collaboration with their healthcare provider. This response respects the client's autonomy while also ensuring that medication decisions are made within the context of a comprehensive healthcare plan overseen by a qualified provider.
A. This statement may come across as dismissive or confrontational to the client. It does not effectively address the client's request or provide guidance on how to proceed.
B. This question may imply suspicion or judgment about the client's motives for seeking a new prescription. It does not foster open communication or collaboration between the nurse and the client and may create a barrier to effective communication.
D. This option is not the appropriate response to a request for a new medication prescription. This option does not address the client's specific request and may not be relevant to their current healthcare needs.
Correct Answer is D
Explanation
D. Tardive dyskinesia (TD) is a side effect of long-term use of first-generation antipsychotic medications, such as those commonly used to treat schizophrenia. It is characterized by involuntary, repetitive movements of the face, tongue, lips, and other parts of the body.
A. Impaired ability to regulate body temperature is more commonly associated with conditions such as heatstroke or certain neurological disorders affecting the hypothalamus, and it typically presents with symptoms such as fever or hypothermia.
B. Extrapyramidal symptoms encompass a range of movement disorders caused by dysfunction of the extrapyramidal system, which includes the basal ganglia.
C. Neuroleptic malignant syndrome (NMS) is a rare but potentially life-threatening side effect of antipsychotic medications, characterized by fever, altered mental status, muscle rigidity, and autonomic dysfunction.
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