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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. Position the client's knee slightly higher than the hips when up in a chair: This position can cause hip flexion greater than 90 degrees, increasing the risk of dislocation. Postoperative clients should keep their hips higher than their knees when sitting.
B. Raise the head of the client's bed to a high-Fowlers position: High-Fowlers positioning creates excessive hip flexion, which places strain on the new prosthesis and increases the likelihood of dislocation following hip replacement surgery.
C. Elevate the client's affected leg on a pillow when in bed: Elevating the leg can be appropriate for reducing swelling, but it does not prevent dislocation. Proper leg alignment is more critical than elevation in this context.
D. Keep an abduction pillow between the client's legs: An abduction pillow maintains the hip in proper alignment by preventing adduction and internal rotation, which are common causes of hip prosthesis dislocation in the early postoperative period.

A. Ham sandwich with milk B. Scrambled eggs and toast with milk C. Shrimp salad and tomato soup with milk D. Bacon and cheese quiche with milk

Correct Answer is B

Explanation

A. Ham sandwich with milk: Ham is pork, which is prohibited in kosher dietary laws. Additionally, mixing meat and dairy in the same meal is not allowed in kosher practice.
B. Scrambled eggs and toast with milk: Eggs, bread, and milk are all considered kosher when prepared properly, and this combination avoids mixing meat and dairy. This option aligns with kosher dietary restrictions.
C. Shrimp salad and tomato soup with milk: Shrimp is a shellfish and is not kosher. Kosher dietary laws prohibit the consumption of shellfish and other non-scaled seafood.
D. Bacon and cheese quiche with milk: Bacon is derived from pork, which is forbidden in kosher diets. Additionally, this meal mixes meat and dairy, which is also not permitted under kosher rules.

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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?

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Naxlex Comprehensive Predictor Exams

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