The nurse is caring for a 76 y/o client whose daughter reports has had memory loss. Which nursing
statement facilitates the assessment of memory? - Answers "Describe how you came to the hospital
today"
Or "What did you have for breakfast?"
The nurse is caring for an older adult who is usually A&O. When the client became suddenly confused,
what is the priority nursing assessment? - Answers SpO2
The nurse is caring for a 30-year-old client who experienced a frontal lobe infarction after a
motorcycle accident. What is the appropriate nursing intervention? - Answers Enable the bed alarm
safety system
How can narcan be administered? - Answers Any route
What might you notice in a patient who has damaged their frontal lobes? - Answers Onset
of/increased aggression
Case study 1, Q1: The wife of a client recently diagnosed with Alzheimer's disease asks the nurse if
there is a cure for her husband's illness. What is the appropriate nursing response? - Answers
"Cholinesterase inhibitor drugs can slow the progression of the disease for some patients"
Case study 1, Q2: To facilitate the client's safe independence, which action will the nurse
recommend? - Answers Place out clothing options and allow the client to choose what to wear
Case study 1, Q3: At a six-month follow-up appointment, the wife states that the client occasionally
has difficulty finding the correct words to use when communicating. What term does the nurse use to
document this data? - Answers Anomia
Case study 1, Q4: At an 18-month follow up appointment, the wife states that her husband seems
depressed most of the time and has become less talkative over the past few months. Which
medication could be helpful for the client's symptoms? - Answers Sertraline
Case study 1, Q5: The client's wife calls the healthcare provider's office to report that her husband
took a walk today in a very familiar area, yet got lost and a neighbor brought him home. What safety
measures will the nurse recommend? - Answers Consider enrollment in the Safe Return Program
Obtain a medical ID bracelet that he should wear at all times
Place him in a geri-chair when you can't be with him
Case study 1, Q6: During the call, the wife states that she must go out of town for three days to care
for an elderly cousin, and she is concerned about her husbands care. Which nursing response is
appropriate? - Answers There are organizations that may be able to provide an interim caretaker for
your husband
Apraxia - Answers Difficulty with skilled movements even when a person has the physical ability and
desire to do them, due to brain damage
Aphasia - Answers Impairment of language, usually caused by left hemisphere damage either to
Broca's area (impairing speaking) or to Wernicke's area (impairing understanding).
Anomia - Answers Loss of the ability to name objects or names of people
Agnosia - Answers Inability to recognize objects using one or more of their senses
The nurse notes that a client with Parkinson disease has resistance to passive movement of the lower
extremities with mildly restrictive movement. Which documentation will the nurse use to describe
this assessment finding? - Answers Rigidity
When caring for a client with Parkinson disease, the nurse understands that progressive difficulty with
which factor is a primary expected outcome? - Answers Motor ability
The family of a client with Alzheimer's disease reports increasing symptoms of paranoia in the client.
Which nursing response is appropriate? - Answers
Case study 2, Q1: A 74 y/o patient has been diagnosed with a cataract in the left eye. He reports a
decrease of visual acuity and cloudiness in the vision of the left eye. What should the nurse respond
when the client questions why this only affected one eye? - Answers A cataract is cloudiness of the
lens, therefore only affecting the eye it forms on
Case study 2, Q2: After seeing the opthalmologist, the patient is scheduled for cataract surgery. What
preoperative teaching will the nurse provide? - Answers Plan for administration of different types of
eye drops prior to having surgery
Case study 2, Q3: After cataract surgery, the client is brought to the recovery area. The nurse is
preparing to administer eyedrops and other medications. Which order should the nurse question? -
Answers Warfarin