Solutions
Which of the following behavior modifications should the nurse
instruct a client to accomplish to help reduce the risk factors for
an occurrence of a stroke. (Select all that apply.)
A. Avoid obesity.
B. Control blood pressure.
C. Increase the intake of green, leafy vegetables.
D. Stop smoking.
E. Increase physical activity.
BDE
Which of the following statements is true about Parkinson
disease (PD)?
It is advised to take levodopa-carbidopa on an empty stomach.
Which of the following are common side effects of Parkinson’s
disease (PD) and the medications used to treat it? (Select all that
apply.)
A. Dyskinesias
B. Dystonia
C. Sleep disorders
,D. Depression
E. Nausea
ABCD
When differentiating the characteristics of depression, delirium,
and dementia, the nurse recognized which of the following as an
indicator of delirium?
Sudden onset
An older adult has a wound infection 5 days after a below-the-
knee amputation brought about by diabetes mellitus. Which of
the following is the nurse's priority intervention to prevent
cognitive dysfunction and postoperative complications in this
older adult?
Remove invasive devices as soon as possible.
The nurse recognizes which of the following displays may
indicate hyperactive delirium?
Nonpurposeful repetitive movements
An older adult is recovering from a bowel resection in the
intensive care unit but remains intubated and on a mechanical
ventilator. Which of the following should the nurse implement
to help prevent delirium from developing in this client?
,Provide uninterrupted periods of rest and sleep.
An older adult is diagnosed to be in the early stage of
Alzheimer’s disease. The diagnosis is made on the presence of
which of the following outcomes? (Select all that apply.)
A. Impaired judgement
B. A decline from a previous level of functioning
C. A gradual decline in cognitive abilities
D. Easily frustrated
E. Mild memory loss
CE
The nurse in a rehabilitation center is caring for a client
diagnosed with new-onset stroke with right-side hemiparesis.
Which intervention should the nurse implement when caring for
this client?
Gives the client a dry erase board.
A new nurse in a long-term care facility is caring for a client
diagnosed with Parkinson's disease (PD). The nurse should note
that which one of the following actions is likely to be observed
during the assessment?
Resting hand tremors
, An older adult comes to the emergency department after falling
at home, and reports "I can't walk without losing my balance."
Which steps should the nurse implement for this client?
Determine symptom onset or when the fall occurred.
Which intervention to manage wandering in clients in a long-
term care facility should be implemented? (Select all that apply.)
A. Engaging the person in social interactions
B. Close observation to identify the person’s individual patterns
C. Providing enclosed pathways for walking
D. Using physical restraints to prevent wandering to maintain
safety
E. Camouflaging doorways
ABCE
A home health nurse is completing an admission on a client who
recently experienced a transient ischemic attack (TIA). During
the assessment, the client begins to report a severe headache and
numbness in the left arm. Which action should the nurse take
initially?
Call 9-1-1.