As the manager in a long-term-care (LTC) facility, you are in charge of developing a standard plan of care for residents with Alzheimer's disease. Which of these nursing tasks is best to delegate to the LPN team leaders working in the facility?
- A. Check for improvement in resident memory after medication therapy is initiated.
- B. Use the Mini-Mental State Examination to assess residents every 6 months.
- C. Assist residents to toilet every 2 hours to decrease risk for urinary incontinence.
- D. Develop individualized activity plans after consulting with residents and family.
Correct Answer: C
Rationale: Toileting assistance is a routine task that can be effectively managed by LPNs.
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The nurse in the postoperative unit prepares to receive a client after a balloon angioplasty of the carotid artery. Which of the following items should the nurse keep at the bedside for such a client in the case of an emergency situation based on the procedure that was done?
- A. BP apparatus
- B. Call bell
- C. IV infusion stand
- D. Endotracheal intubation
Correct Answer: D
Rationale: Endotracheal intubation is essential in case of airway compromise.
A patient with OA asks the nurse whether he could try glucosamine and chondroitin for control of his symptoms. The best response by the nurse includes what information?
- A. Some patients find these supplements helpful for relieving arthritis pain and improving mobility.
- B. Although these substances may not help, there is no evidence that they can cause any untoward effects.
- C. These supplements are a fad that has not been shown to reduce pain or increase joint mobility in patients with OA.
- D. Only dosages of these supplements available by prescription are high enough to provide any benefit in treatment of OA.
Correct Answer: A
Rationale: Glucosamine and chondroitin may offer symptomatic relief.
Spinal Cord originates from which part of the brain?
- A. Cerebellum
- B. Medulla
- C. Pons
- D. Cerebrum
Correct Answer: B
Rationale: Medulla is the correct answer because the spinal cord originates from the medulla oblongata, which is the lowest part of the brainstem. The medulla controls involuntary functions such as heart rate, breathing, and reflexes like swallowing and sneezing.
There are _____ ventricles in the brain.
- B. 1
- C. 2
- D. 4
Correct Answer: D
Rationale: There are four ventricles in the brain: two lateral ventricles, the third ventricle, and the fourth ventricle. These ventricles are filled with cerebrospinal fluid (CSF), which cushions the brain and spinal cord.
The 45-year-old client is diagnosed with primary progressive multiple sclerosis and the nurse writes the nursing diagnosis 'anticipatory grieving related to progressive loss.' Which intervention should be implemented?
- A. Consult the physical therapist for assistive devices for mobility.
- B. Determine if the client has a legal power of attorney.
- C. Ask if the client would like to talk to the hospital chaplain.
- D. Discuss the client's wishes regarding end-of-life care.
Correct Answer: D
Rationale: Discussing end-of-life care is crucial for clients with progressive diseases like MS, as it helps them plan for the future and express their wishes.