NCLEX Secrets - Neurology Board Review
51. A 75-year old woman is admitted to a nursing home with a diagnosis of primary dementia of the Alzheimer's type. In the nursing home, which of these behaviors of the client is of greatest danger to her?
a) she wanders into other patient's room
b) she climbs over the side rails of her bed
c) she eats the food off other resident's plates
d) she refuses to change her clothes
52. An elderly client is diagnosed with Alzheimer's disease. When planning care, the nurse should include which of these vital considerations?
a) allowing him to plan his own day
b) encouraging outside diversional activities
c) limiting his caloric intake
d) providing a calm, predictable environment
53. While in the dining room having lunch, a nursing home client with Alzheimer's disease suddenly begins shouting and banging on the table. Which action should be taken by the nurse first?
a) speak in a firm voice asking the client to stop the behavior
b) put the client in the corner of the dining room by himself
c) take the client back to his room to finish lunch
d) remove the lunch tray until the client can control himself
54. A patient with hepatic encephalopathy is given instructions regarding his diet. Which of the following foods should the patient avoid?
a) proteins
b) calcium
c) fats
d) carbohydrates
55. A male client, 89 years old who has a mild Alzheimer's disease was admitted 2 days ago. Which of the following signs and symptoms are expected in the client?
a) poor attention span
b) poor personal hygiene
c) unable to remember misplaced objects
d) irritable
e) intention tremors
f) shuffling gait
NCLEX Secrets - Neurology Board Review:
ANSWERS AND RATIONALE
51) B
- falls is one of the greatest dangers among confused client.
52) D
- a simple, structured environment should be provided to the client with Alzheimer's disease to help him cope up with his/her memory loss.
53) C
- remove the client from the environment that may have triggered agitation. But continue provide care, like allowing him to finish his meal.
54) A
- the natural end-product of protein is ammonia. Increased ammonia production causes hepatic encephalopathy.
55) A, B, C, D
- the main problem with Alzheimer's disease is memory loss. Intention tremors and shuffling gait are manifestations of Parkinson's disease.
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NCLEX Secrets - Neurology Board Review (51-55)
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