During a client interview, the nurse notices that the client often fills in information with made-up stories. Which stage of Alzheimer's disease will the nurse see this behavior?

Stage 3

Stage 2

Stage 1

Early stage

Answer and Explanation

The Correct Answer is D

Choice A Rationale: Stage 3 of Alzheimer's disease is characterized by increased memory deficits, but the behavior of filling in information with made-up stories is more commonly associated with the earlier stages.

Choice B Rationale: Stage 2 of Alzheimer's disease involves progressive cognitive decline but may not necessarily manifest with the specific behavior described.

Choice C Rationale: Stage 1 of Alzheimer's disease typically has mild cognitive changes, but the behavior mentioned is more indicative of the later stages.

Choice D Rationale: The early stage of Alzheimer's disease may involve the emergence of confabulation, where clients fill in gaps in memory with fabricated stories or information.

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Correct Answer is B

Explanation

Choice A Rationale: Lethargy is not a typical manifestation of trigeminal neuralgia.

Choice B Rationale: Pain is the hallmark symptom of trigeminal neuralgia and is known to significantly affect a person's quality of life. The pain is often severe, sudden, and recurrent.

Choice C Rationale: Social withdrawal can result from the pain and discomfort associated with trigeminal neuralgia, but it is a consequence rather than a primary manifestation.

Choice D Rationale: Poor hygiene may occur as a result of the pain and discomfort associated with trigeminal neuralgia, but it is not a primary symptom of the condition.

A. A Drain the bladder with a clean intermittent catheter every hour B. B Decrease fluid intake C. C Observe the urine for a foul odor D. D Keep an indwelling catheter in place at all times

Correct Answer is A

Explanation

Choice A Rationale: Draining the bladder with a clean intermittent catheter at appropriate intervals is an essential part of managing urinary system complications in clients with spinal cord injury to prevent urinary retention and complications.

Choice B Rationale: Decreasing fluid intake is not typically recommended for individuals with spinal cord injuries, as adequate hydration is important for overall health.

Choice C Rationale: Observing the urine for a foul odor is relevant to monitor for urinary tract infections, but it is not a preventive measure.

Choice D Rationale: Keeping an indwelling catheter in place at all times is not typically recommended due to the increased risk of urinary tract infections and other complications. Clean intermittent catheterization is often preferred.

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During a client interview, the nurse notices that the client often fills in information with made-up stories. Which stage of Alzheimer's disease will the nurse see this behavior?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a diagnosis of trigeminal neuralgia reports which of the following manifestations as significantly affecting her quality of life?

Correct Answer is B

Explanation

A nurse is offering teaching to a caregiver about urinary system complications that occur as a result of spinal cord injury. Which of the following will the nurse include in teaching?

Correct Answer is A

Explanation

A nurse is preparing a care plan for a client with a spinal cord injury. Which of the following is the highest priority for the nurse to implement?

A client who suffered partial paralysis is repositioned by the nurse every 2 hours. After placing the client in a side-lying position, what action will nurse take to prevent complications?

After assessing a client with deficits from a spinal cord injury, the nurse identifies the client's 02 saturation is 92%. Which of the following is the best first action by the nurse?

The nurse caring for the client with Alzheimer's documents that the client is in the early stage of Alzheimer's. Which findings are consistent with mild Alzheimer's disease?

The day shift nurse at the long-term care facility learns that a patient with dementia experienced sundowning late in the afternoon on the previous two days. Which is the best action by the nurse?

A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.)

A client diagnosed with severe Alzheimer's has been admitted to a long term care facility. Which of the following are appropriate activities for the nurse to include in the care plan?

The client recently diagnosed with Guillain-Barre' syndrome is drooling and having difficulty swallowing secretions. When asked why this is happening, which of the following is the best answer for the nurse to give to the family?