A nurse is providing discharge teaching to the family of a client who has Alzheimer's disease. Which of the following instructions should the nurse include in the teaching?
Keep a monthly calendar in the client's kitchen.
Provide distraction by keeping the television on.
Install a nightlight in the client's bedroom
Place a deadbolt lock on the client's bedroom door.
The Correct Answer is C
A. Keep a monthly calendar in the client's kitchen: A calendar showing a full month may be difficult for a client with Alzheimer's disease to process due to impaired memory and orientation. Simpler visual aids or daily reminders are more effective in supporting cognitive function.
B. Provide distraction by keeping the television on: Leaving the television on continuously can overstimulate the client and contribute to confusion or agitation. Clients with Alzheimer's often benefit more from calm, structured environments than from constant auditory input.
C. Install a nightlight in the client's bedroom: Installing a nightlight helps maintain orientation and reduce nighttime confusion. It also lowers the risk of falls by making it easier for the client to navigate their environment if they wake during the night.
D. Place a deadbolt lock on the client's bedroom door: Locking the client in their bedroom poses serious safety concerns, especially in emergencies like a fire. It may also increase anxiety or fear. Safer wandering prevention measures include door alarms or monitoring systems.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Clonidine: While clonidine can alleviate some nicotine withdrawal symptoms such as anxiety and irritability, it is not a first-line therapy for smoking cessation and is usually reserved for clients who cannot use other approved medications.
B. Naltrexone: Naltrexone is primarily prescribed for alcohol and opioid use disorders and has no significant effect on nicotine addiction or withdrawal.
C. Bupropion: Bupropion is an effective smoking cessation aid that reduces nicotine cravings and withdrawal by affecting neurotransmitters in the brain. It is FDA-approved specifically for helping clients quit smoking.
D. Chlordiazepoxide: This benzodiazepine is used to manage anxiety and alcohol withdrawal but does not target nicotine dependence or support smoking cessation efforts.
Correct Answer is D
Explanation
A. NPH insulin: This is an intermediate-acting insulin with a delayed onset and is not appropriate for continuous infusion. It is not used in the acute management of diabetic ketoacidosis (DKA).
B. 0.45% saline: Hypotonic saline may be used later in DKA management, but initial fluid resuscitation requires isotonic fluids to restore intravascular volume and improve perfusion.
C. Glargine insulin: This is a long-acting insulin used for basal control and is not suitable for continuous infusion. It lacks the rapid onset and titratability needed in acute DKA treatment.
D. Normal saline: Isotonic 0.9% saline is the fluid of choice for initial resuscitation in DKA to treat dehydration, improve perfusion, and stabilize blood pressure before initiating insulin therapy.
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