Nokea
Which statement by a client with Alzheimer's disease indicates a need for further safety teaching?
- A. I'll use a nightlight in my bedroom.'
- B. I can cook meals on the stove alone.'
- C. I'll keep my medications in a locked box.'
- D. I'll wear a medical alert bracelet.'
Correct Answer: B
Rationale: Cooking alone on the stove poses a fire risk for clients with Alzheimer's due to memory and judgment impairments.
You may also like to solve these questions
The nurse should place the client in which position?
- A. Knee-chest (genupectoral) position
- B. Sitting in an orthopneic position
- C. Side-lying position with his neck flexed
- D. Prone position with the head turned to the left side
Correct Answer: C
Rationale: The side-lying position with the neck flexed facilitates access to the lumbar spine for a lumbar puncture and helps open the intervertebral spaces.
Which statement best describes the scientific rationale for alternating a nonnarcotic antipyretic and a nonsteroidal anti-inflammatory drug (NSAID) every two (2) hours to a female client diagnosed with bacterial meningitis?
- A. This regimen helps to decrease the purulent exudate surrounding the meninges.
- B. These medications will decrease intracranial pressure and brain metabolism.
- C. These medications will increase the client’s memory and orientation.
- D. This will help prevent a yeast infection secondary to antibiotic therapy.
Correct Answer: B
Rationale: Alternating antipyretics and NSAIDs (B) reduces fever and inflammation, lowering ICP and brain metabolism in meningitis. Exudate (A) is addressed by antibiotics, memory/orientation (C) is not directly affected, and yeast infections (D) are unrelated.
The nurse is caring for the client who has limited intake due to dysphagia following an ischemic stroke. Which serum laboratory result should the nurse review to verify that the client is dehydrated?
- A. Elevated serum creatinine
- B. Elevated blood urea nitrogen
- C. Decreased hemoglobin
- D. Decreased prealbumin
Correct Answer: B
Rationale: The serum creatinine is elevated with renal insufficiency or renal failure. The BUN is elevated when the client is dehydrated due to the lack of fluid volume to excrete waste products. The Hgb is decreased with blood loss or anemia from nutritional deficiencies, not with dehydration. A decreased prealbumin indicates a nutritional deficiency.
When a client is injured during a seizure, which fact is most important to document on the incident (accident) report to reduce the risk of liability?
- A. The client was assigned to a licensed nurse.
- B. The signal cord was within the client's reach.
- C. The client's vital signs had been stable.
- D. The client was last observed reading.
Correct Answer: B
Rationale: Documenting that the signal cord was within reach indicates that safety measures were in place, reducing liability.
Which behavior is a risk factor for developing and spreading bacterial meningitis?
- A. An upper respiratory infection (URI).
- B. Unprotected sexual intercourse.
- C. Chronic alcohol consumption.
- D. Use of tobacco products.
Correct Answer: A
Rationale: URI (A) increases the risk of bacterial meningitis by facilitating bacterial invasion. Sexual intercourse (B), alcohol (C), and tobacco (D) are not direct risk factors.