A nurse is reinforcing teaching with the family of a client who has primary dementia. Which of the following manifestations of dementia should the nurse include in the teaching?

Temporary, reversible loss of brain function

Forgetfulness gradually progressing to disorientation

Hyper vigilant behaviors

Sleeping more during the day than nighttime

Answer and Explanation

The Correct Answer is B

A. Primary dementia is not characterized by temporary or reversible loss of brain function; it typically involves progressive and irreversible changes.
B. Forgetfulness that gradually progresses to disorientation is a common manifestation of primary dementia, indicating cognitive decline.
C. Hyper vigilant behaviors are not typical of dementia; instead, individuals may exhibit confusion or disorientation.
D. Sleeping more during the day than nighttime is not a specific manifestation of primary dementia and could be attributed to other factors, including other medical conditions or medications.

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Correct Answer is C

Explanation

A. Benztropine is an anticholinergic agent, which reduces salivation rather than causing excessive salivation.
B. Diarrhea is not a typical side effect of benztropine; constipation is more likely due to its anticholinergic properties.
C. Difficulty voiding is an anticholinergic adverse effect of benztropine, as it can cause urinary retention. The client should report this symptom immediately to prevent complications.
D. Slow pulse is not a common adverse effect of benztropine; it may actually increase heart rate due to its anticholinergic effects.

A. "Your headache is probably a result of anxiety about the chest pain." B. "It sounds as if you are allergic to this medication." C. "A headache is a common adverse effect of this medication, but it will probably occur less often over time." D. "A headache indicates tolerance to the medication."

Correct Answer is C

Explanation

A. The headache is not related to anxiety but is a known side effect of nitroglycerin due to vasodilation.
B. An allergy to nitroglycerin typically presents as a rash or breathing difficulty, not a headache.
C. Nitroglycerin commonly causes headaches due to the dilation of blood vessels in the brain, which usually lessens over time as the body adjusts.
D. A headache does not indicate tolerance to the medication. Tolerance develops when the body becomes less responsive to the medication's effects, which usually involves a reduced effect on chest pain, not the onset of a headache.

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A nurse is reinforcing teaching with the family of a client who has primary dementia. Which of the following manifestations of dementia should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is taking benztropine to treat Parkinson's disease. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

Correct Answer is C

Explanation

A nurse administered nitroglycerin sublingually to a client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. Which of the following responses by the nurse is appropriate?

Correct Answer is C

Explanation

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