A nurse is caring for an older adult client in a rehabilitation facility.
Select 1 condition and 1 client finding to fill in each blank in the following sentence.
The client may be prescribed
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
- Memantine: This medication is commonly used to treat cognitive symptoms associated with Alzheimer's disease and other forms of dementia, which can include memory loss, confusion, and difficulty with daily tasks.
- Cognitive changes: The client's symptoms of getting lost, difficulty speaking, and misplacing things suggest significant cognitive decline, which memantine can help manage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Assigning tasks is important but comes after understanding family dynamics.
B. Establishing a routine is beneficial but should follow assessment.
C. Referring to a support group is valuable but not the immediate first step.
D. Determining family roles helps the nurse assess coping strategies and dynamics, which is essential before planning interventions.
Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"A,B,C"},"C":{"answers":"A,B,C"},"D":{"answers":"A,B"}}
Explanation
|
Assessment Findings |
Sprain |
Fracture |
Dislocation |
|
Ecchymosis |
✅ |
✅ |
✅ |
|
Pain level |
✅ |
✅ |
✅ |
|
Edema |
✅ |
✅ |
✅ |
|
Sensation |
✅ |
✅ |
Rationale:
Ecchymosis (bruising):
Sprain: Common due to soft tissue damage.
Fracture: Frequently present due to bone and soft tissue injury.
Dislocation: Bruising often accompanies joint dislocation.
Pain level:
Sprain: Moderate pain, often exacerbated by movement.
Fracture: Pain is typically sharp and worsens with movement or weight-bearing.
Dislocation: Severe pain due to misalignment of the joint.
Edema:
Sprain: Common due to inflammation from ligament injury.
Fracture: Swelling is typical around the fracture site.
Dislocation: Edema occurs due to joint misalignment and tissue trauma.
Sensation (tingling):
Sprain: Nerve compression or irritation may cause tingling.
Fracture: Tingling can result from nerve involvement or swelling near the fracture site.
Dislocation: Tingling is less common unless nerve damage occurs, which is more serious and often leads to numbness or motor impairment.
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