Iggy Chapter 42, 43
A nurse cares for a client with advanced Alzheimer's disease. The client's caregiver states, "She is always wandering off. What can I do to manage this restless behavior?" How should the nurse respond?
"Engage the client in scheduled activities throughout the day."
After teaching the wife of a client who has Parkinson disease, the nurse assesses the wife's understanding. Which statement by the client's wife indicates she understands changes with this disease?
Because chewing and swallowing can be problematic, small frequent meals and a supplement are better for meeting the client's nutritional needs
A nurse assesses a client with multiple sclerosis after administering prescribed fingolimod (Gilenya). For which adverse effect should the nurse monitor?
Bradycardia Fingolimod (Gilenya) is an antineoplastic agent that can cause bradycardia, especially within the first 6 hours after administration
A nurse delegates care for a client with Parkinson disease to an unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating this client's care?
Allow the client to be as independent as possible with activities."
A nurse is teaching a client with multiple sclerosis who is prescribed cyclophosphamide (Cytoxan) and methylprednisolone (Medrol). Which statement should the nurse include in this client's discharge teaching?
Avoid people with upper respiratory illness because these medications are immunosuppressive.
A nurse delegates care for a client with early-stage Alzheimer's disease to an unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating this client's care?
Clients who have early-stage Alzheimer's disease should be reoriented frequently to person, place, and time
A nurse is teaching the daughter of a client who has Alzheimer's disease. The daughter asks, "Will the medication my mother is taking improve her dementia?" How should the nurse respond?
It will not improve her dementia but can help control emotional responses. Drug therapy is not effective for treating dementia or halting the advancement of Alzheimer's disease.
A nurse plans care for a client with Parkinson disease. Which intervention should the nurse include in this client's plan of care?
Keep the head of the bed at 30 degrees or greater. Elevation of the head of the bed will help prevent aspiration. which is the greatest respiratory complication of Parkinson disease
A nurse assesses a client after administering prescribed levetiracetam (Keppra). Which laboratory tests should the nurse monitor for potential adverse effects of this medication
Kidney function tests Adverse effects of levetiracetam include coordination problems and renal toxicity.
A nurse cares for a client who presents with an acute exacerbation of multiple sclerosis (MS). Which prescribed medication should the nurse prepare to administer?
Methylprednisolone (Medrol) is the drug of choice for acute exacerbation's of the disease
A nurse assesses a client with early-onset multiple sclerosis (MS). Which clinical manifestation should the nurse expect to find?
Nystagmus Early signs and symptoms of MS include changes in motor skills, vision, and sensation.
A nurse prepares to discharge a client with Alzheimer's disease. Which statement should the nurse include in the discharge teaching for this client's caregiver?
install deadbolts on outside doors
A nurse assesses a client with Alzheimer's disease who is recently admitted to the hospital. Which psychosocial assessment should the nurse complete?
the client experiences changes in emotional and behavioral affect. The nurse should be alert to the client's reaction to a change in environment
A nurse witnesses a client with late-stage Alzheimer's disease eat breakfast. Afterward the client states, "I am hungry and want breakfast." How should the nurse respond?
use validation therapy. "Are you still hungry, want some toast?"
