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A nurse is assisting with the plan of care for a client who has Alzheimer's disease. Which of the following actions should the nurse recommend for the plan of care?

Encourage the client to talk about current events.

Give directions using simple phrases

Orient the client to time and place twice per day

Rotate assistive personnel to help the client with ADLs

Answer and Explanation

The Correct Answer is B

b. Give directions using simple phrases.

The correct answer is b. Give directions using simple phrases.

Explanation:

When assisting with the plan of care for a client with Alzheimer's disease, it is important to consider their cognitive impairments and provide appropriate interventions. Giving directions using simple phrases is recommended because it helps the client beter understand and follow instructions. Complex or lengthy directions can be confusing and overwhelming for individuals with Alzheimer's disease. Using clear and concise language can enhance communication and facilitate the client's ability to engage in activities of daily living.

Explanation for the other options:

a. Encourage the client to talk about current events: While social interaction and engagement are beneficial for clients with Alzheimer's disease, their ability to comprehend and discuss current events may be limited due to cognitive impairments. It is important to adapt communication to the client's cognitive abilities and interests.

c. Orient the client to time and place twice per day: Frequent orientation to time and place can be helpful for clients with Alzheimer's disease, but the specific frequency should be based on the individual's needs and preferences. Some individuals may require more frequent orientation, while others may find it overwhelming. The plan of care should be individualized to address the client's specific needs.

d. Rotate assistive personnel to help the client with ADLs: Consistency and familiarity are important for individuals with Alzheimer's disease. Rotating assistive personnel frequently may disrupt the client's routine and cause increased confusion and agitation. Whenever possible, it is best to maintain a consistent caregiving team to provide familiarity and establish a therapeutic relationship with the client.

In summary, giving directions using simple phrases is an appropriate action when assisting with the plan of care for a client with Alzheimer's disease. This approach promotes eﬀective communication and enhances the client's ability to understand and follow instructions.

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Correct Answer is A

Explanation

Chronic constipation is a common finding in clients with hemorrhoids. Constipation can increase pressure on the veins in the rectum and anus, leading to the development of hemorrhoids.

The other options are not correct because:

b) Excessive ﬂatulence is not mentioned as a common finding in clients with hemorrhoids.

c) Frequent stools are not mentioned as a common finding in clients with hemorrhoids.

d) Fecal incontinence is not mentioned as a common finding in clients with hemorrhoids.

A. A client who has a head injury and whose pupils are fixed and dilated B. A client who has a dislocated shoulder and reports a pain level of 8 on a scale from 0 to 10 C. A client who has a 20.3-cm (8-in) scalp laceration with intermittent bleeding D. A client who has diminished breath sounds and paradoxical chest movement

Correct Answer is D

Explanation

The nurse should recommend that the client who has diminished breath sounds and paradoxical chest movement receive care first. This client is likely experiencing a tension pneumothorax, which is a life-threatening condition that requires immediate intervention.

Option a is incorrect because a client who has a head injury and whose pupils are fixed and dilated may have experienced brain death and may not be able to be resuscitated.

Option b is incorrect because a dislocated shoulder, while painful, is not immediately life-threatening. Option c is incorrect because a scalp laceration with intermittent bleeding can be managed with pressure and is not immediately life-threatening.

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A nurse is assisting with the plan of care for a client who has Alzheimer's disease. Which of the following actions should the nurse recommend for the plan of care?

Nursing Test Bank

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