Exam 6 Ch39

22問 • 2年前

問題一覧

1. The nurse is teaching the daughter of a client who has middle-stage Alzheimer disease. The daughter asks, “Will the sertraline my mother is taking improve her dementia?” How would the nurse respond about the purpose of the drug?

c. “It will not improve her dementia but can help control emotional responses.”

2. A client with early-stage Alzheimer disease is admitted to the hospital with chest pain. Which nursing action is most appropriate to manage this client’s dementia?

b. Ensure a structured and consistent environment.

3. The nurse observes a client with late-stage Alzheimer disease eat breakfast. Afterward the client states, “I am hungry and want breakfast.” What is the nurse’s best response?

a. “I see you are still hungry. I will get you some toast.”

4. The nurse cares for a client with middle-stage (moderate) Alzheimer disease. The client’s caregiver states, “She is always wandering off. What can I do to manage this restless behavior?” What is the nurse’s best response?

b. “Engage the client in scheduled activities throughout the day.”

5. The nurse prepares to discharge a client with early to moderate Alzheimer disease. Which statement to maintain client safety would the nurse include in the discharge teaching for the caregiver?

d. “Install safety locks on all outside doors.”

6. The nurse is teaching a family caregiver about how best to communicate with the client who has been diagnosed with Alzheimer disease. Which statement by the caregiver indicates a need for further teaching?

a. “I will avoid communicating with the client to prevent agitation.”

7. The nurse teaches assistive personnel (AP) about how to care for a client with early-stage Alzheimer disease. Which statement would the nurse include?

c. “Reorient the client to the day, time, and environment with each contact.”

8. The primary health care provider prescribes donepezil for a client diagnosed with early-stage Alzheimer disease. What teaching about this drug will the nurse provide for the client’s family caregiver?

d. “Report any client dizziness or falls because the drug can cause bradycardia.”

9. After teaching the wife of a client who has Parkinson disease, the nurse assesses the wife’s understanding. Which statement by the client’s wife indicates that she correctly understands changes associated with this disease?

d. “He may have trouble chewing, so I will offer bite-sized portions.”

10. The nurse plans care for a client with Parkinson disease. Which intervention would the nurse include in this client’s plan of care?

d. Keep the head of the bed at 30 degrees or greater.

11. A nurse teaches assistive personnel (AP) about how to care for a client with Parkinson disease. Which statement would the nurse include as part of this teaching?

a. “Allow the client to be as independent as possible with activities.”

12. A client diagnosed with Parkinson disease will be starting ropinirole for symptom control. Which statement by the client indicates a need for further teaching?

d. “I know the drug will probably make help me prevent constipation.”

13. A nurse is teaching a client who experiences migraine headaches and is prescribed propranolol. Which statement would the nurse include in this client’s teaching?

b. “Take this drug as prescribed, even when feeling well, to prevent vascular changes associated with migraine headaches.”

14. The nurse assesses a client who has a history of migraines. Which symptom would the nurse identify as an early sign of a migraine with aura?

c. Visual disturbances

15. The nurse obtains a health history on a client prior to administering prescribed sumatriptan succinate for migraine headaches. Which condition would alert the nurse to withhold the medication and contact the primary health care provider?

b. Heart disease

16. The nurse assesses a client with a history of epilepsy who experiences stiffening of the muscles of the arms and legs, followed by an immediate loss of consciousness and jerking of all extremities. How would the nurse document this type of seizure?

d. Tonic-clonic

17. The nurse witnesses a client begin to experience a tonic-clonic seizure and loss of consciousness. What action would the nurse take first?

c. Turn the client’s head to the side.

18. A nurse cares for a client who is experiencing status epilepticus. Which prescribed medication would the nurse anticipate to prepare for administration?

b. Lorazepam

19. After teaching a client who is diagnosed with new-onset epilepsy and prescribed phenytoin, the nurse assesses the client’s understanding. Which statement by the client indicates a correct understanding of the teaching?

d. “Even when my seizures stop, I will continue to take this drug.”

20. After teaching a client newly diagnosed with epilepsy, the nurse assesses the client’s understanding. Which statement by the client indicates a need for additional teaching?

d. “If I am nauseated, I will not take my epilepsy medication.”

21. The nurse is teaching a group of college students about the importance of preventing meningitis. Which health promotion activity is the most appropriate for preventing this disease?

c. Obtaining the recommended meningitis vaccination and boosters

22. A nurse obtains a focused health history for a client who is suspected of having bacterial meningitis. Which question would the nurse ask?

a. “Do you live in a crowded residence?”

NUR 170 exam 4

V Farris · 50問 · 2年前

NUR 170 exam 4