Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which of the following actions should the nurse take?.
A. Keep the television on at all times.
Keeping the television on at all times can increase confusion and agitation in clients with Alzheimer’s disease due to the constant noise and changing images.
B. Hang abstract pictures on the walls.
Abstract pictures can be confusing and disorienting for clients with Alzheimer’s disease. It’s better to use simple, familiar images.
C. Keep familiar personal items in client's room.
Keeping familiar personal items in the client’s room can help orient the client to their surroundings and decrease confusion.
D. Encourage bright lighting in the room.
Bright lighting can help reduce confusion and agitation in clients with Alzheimer’s disease by making the environment clear and easy to navigate. So, the correct answer is C. Keep familiar personal items in client’s room.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Custom Pharmacology Cohert 6 Mid term Remidiation Cloned Assessment 1 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Keeping the television on at all times can increase confusion and agitation in clients with Alzheimer’s disease due to the constant noise and changing images.
Choice B rationale:
Abstract pictures can be confusing and disorienting for clients with Alzheimer’s disease. It’s better to use simple, familiar images.
Choice C rationale:
Keeping familiar personal items in the client’s room can help orient the client to their surroundings and decrease confusion.
Choice D rationale:
Bright lighting can help reduce confusion and agitation in clients with Alzheimer’s disease by making the environment clear and easy to navigate.
So, the correct answer is C. Keep familiar personal items in client’s room.
Similar Questions
A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy.
The client begins to experience a tonic-clonic seizure.
Identify the sequence of steps the nurse should follow.
(Move the steps into the box on the right, placing them in the selected order of performance.
Use all the steps.).
A. Reorient and reassure the client.
B. Remain with the client and call for help.
C. Check the client for injuries.
D. Place the client in the lateral position.
Full Explanation
Step 1 is B. Remain with the client and call for help. This ensures the client’s safety and gets additional assistance. Step 2 is D. Place the client in the lateral position. This prevents aspiration if the client vomits. Step 3 is C. Check the client for injuries. After the seizure has ended, the nurse should assess for any injuries that may have occurred during the seizure. Step 4 is A. Reorient and reassure the client. After a seizure, the client may be confused and scared. Reorienting and reassuring the client can help them recover. So, the correct sequence is B, D, C,
A.
A nurse is reinforcing teaching with a client who takes lithium carbonate for bipolar disorder.
For which of the following findings should the nurse monitor as an adverse effect of lithium carbonate?.
A. Constipation.
Constipation is not a common side effect of lithium carbonate.
B. Thyroid enlargement.
Thyroid enlargement is a known side effect of lithium carbonate. Lithium can cause hypothyroidism, which may result in an enlarged thyroid.
C. Hyporeflexia.
Hyporeflexia is not typically associated with lithium carbonate use.
D. Elevated blood pressure.
Elevated blood pressure is not a common side effect of lithium carbonate. So, the correct answer is B.
Full Explanation
Choice A rationale:
Constipation is not a common side effect of lithium carbonate.
Choice B rationale:
Thyroid enlargement is a known side effect of lithium carbonate. Lithium can cause hypothyroidism, which may result in an enlarged thyroid.
Choice C rationale:
Hyporeflexia is not typically associated with lithium carbonate use.
Choice D rationale:
Elevated blood pressure is not a common side effect of lithium carbonate.
So, the correct answer is B.
A nurse is preparing to administer amitriptyline 150 mg PO. The amount available is amitriptyline 75 mg/ tablet.
How many tablets should the nurse administer? (Round the answer to the nearest whole number.
Use a leading zero if it applies.
Do not use a trailing zero
Full Explanation
Step 1 is: Identify the prescribed dose, which is 150 mg. Step 2 is: Identify the available dose, which is 75 mg per tablet. Step 3 is: Divide the prescribed dose by the available dose. So, 150 mg ÷ 75 mg/tablet. Step 4 is: The result is 2 tablets.
So, the correct answer is 2 tablets.