A nurse is instructing a client who is experiencing episodes of tinnitus on lifestyle modifications to make. Which of the following statements should the nurse include in the teaching?

"You can have 2 to 3 cups of coffee throughout the day."

"You should practice deep breathing exercises:'

"You can use at least 2,300 mg of sodium daily."

"You should avoid exercising."

Answer and Explanation

The Correct Answer is B

A. "You can have 2 to 3 cups of coffee throughout the day": Caffeine consumption can exacerbate tinnitus symptoms in some individuals. Therefore, advising the client to limit caffeine intake, rather than specifying a quantity, would be more appropriate.

B. "You should practice deep breathing exercises": Deep breathing exercises and relaxation techniques can help reduce stress and anxiety, which may contribute to tinnitus symptoms. Stress management strategies can be beneficial in managing tinnitus-related distress.

C. "You can use at least 2,300 mg of sodium daily": High sodium intake may exacerbate tinnitus symptoms in some individuals. Advising the client to limit sodium intake would be more appropriate to potentially alleviate symptoms.

D. "You should avoid exercising": Regular exercise is generally beneficial for overall health and well-being, including stress reduction, which can help manage tinnitus symptoms. Therefore, advising the client to avoid exercising is not appropriate.

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Correct Answer is ["A","B","C","D","E"]

Explanation

A. Restlessness: Restlessness is a common behavioral manifestation in clients with Alzheimer's disease. It can be caused by various factors, including confusion, agitation, discomfort, or unmet needs. Restlessness may manifest as pacing, fidgeting, or difficulty sitting still.

B. Aggression: Aggression, including verbal or physical aggression, is a behavioral manifestation that can occur in clients with Alzheimer's disease. Aggression may result from frustration, confusion, fear, or other underlying factors. It can present challenges for both the individual with Alzheimer's and their caregivers.

C. Depression: Depression is a mood disorder that can occur in individuals with Alzheimer's disease. Symptoms of depression may include persistent sadness, feelings of hopelessness, social withdrawal, and loss of interest in previously enjoyed activities. Depression can exacerbate cognitive decline and functional impairment in individuals with Alzheimer's.

D. Hyperactivity: Hyperactivity, characterized by excessive or restless activity, can occur in some individuals with Alzheimer's disease. Hyperactivity may be a manifestation of agitation, anxiety, or other underlying factors. It can present challenges for caregivers and may require interventions to manage.

E. Lethargy: Lethargy, or extreme fatigue and lack of energy, can also occur in individuals with Alzheimer's disease. Lethargy may result from physical and cognitive decline, medication side effects, depression, or other medical conditions. It can contribute to decreased engagement in activities and worsening of cognitive function.

A. The client develops bradycardia and bradypnea B. The client has metabolic alkalosis and warm extremities C. The client has hypertension and anuria D. The client has hypotension and is confused

Correct Answer is D

Explanation

A. The client develops bradycardia and bradypnea: Bradycardia (slow heart rate) and bradypnea (slow breathing rate) may indicate a slowing down of bodily functions but are not typical manifestations of postoperative shock. In postoperative shock, the body's compensatory mechanisms often lead to tachycardia (rapid heart rate) and tachypnea (rapid breathing rate) as the body tries to maintain perfusion.

B. The client has metabolic alkalosis and warm extremities: Metabolic alkalosis and warm extremities are not typically associated with postoperative shock. In shock, metabolic acidosis is more common due to tissue hypoperfusion, and extremities may become cool due to peripheral vasoconstriction as the body attempts to shunt blood to vital organs.

C. The client has hypertension and anuria: Hypertension (high blood pressure) and anuria (lack of urine output) are not indicative of postoperative shock. In shock, blood pressure typically decreases (hypotension), and oliguria or anuria may occur due to decreased renal perfusion.

D. The client has hypotension and is confused: This is the correct answer. Hypotension (low blood pressure) is a hallmark sign of shock, indicating inadequate tissue perfusion. Confusion may occur due to cerebral hypoperfusion and inadequate oxygen delivery to the brain. Confusion is a late sign of shock and indicates severe compromise of organ perfusion.

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A nurse is instructing a client who is experiencing episodes of tinnitus on lifestyle modifications to make. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating the family of a client who has Alzheimer's disease. The nurse should be sure to communicate that which of the following behavioral manifestations can occur in clients with Alzheimer’s disease? (Select All that Apply.)

Correct Answer is ["A","B","C","D","E"]

Explanation

A nurse is providing care for a postoperative client. Which of the following manifestations should the nurse identify as indicating the development of postoperative shock?

Correct Answer is D

Explanation

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