A nurse is teaching a client with chronic migraine headaches. Which statement related to complementary therapy should the nurse include in this client's teaching?
a. Place a warm compress on your forehead at the onset of the headache.
b. Wear dark sunglasses when you are in brightly lit spaces.
c. Lie down in a darkened room when you experience a headache.
d. Set your alarm to ensure you do not sleep longer than 6 hours at one time.
Question 2A nurse cares for a client who has been diagnosed with the Huntington gene but has no symptoms. The client asks for options related to family planning. What is the nurse's best response?
a. Most clients with the Huntington gene do not pass on Huntington disease to their children.
b. I understand that they can diagnose this disease in embryos. Therefore, you could select a healthy embryo from your fertilized eggs for implantation to avoid passing on Huntington disease.
c. The need for family planning is limited because one of the hallmarks of Huntington disease is infertility.
d. Tell me more specifically what information you need about family planning so that I can direct you to the right information or health care provider.
Question 3A 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?
a. Allow the client to rest most of the day.
b. Place a padded throw rug at the bedside.
c. Install deadbolt locks on all outside doors.
d. Provide a high-calorie and high-protein diet.
Question 4A 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?
a. This is a sign of fatigue. The client would benefit from a daily nap.
b. Engage the client in scheduled activities throughout the day.
c. It sounds like this is difficult for you. I will consult the social worker.
d. The provider can prescribe a mild sedative for restlessness.
Question 5A nurse assesses a client after administering prescribed levetiracetam (Keppra). Which laboratory tests should the nurse monitor for potential adverse effects of this medication?
a. Serum electrolyte levels
b. Kidney function tests
c. Complete blood cell count
d. Antinuclear antibodies
Question 6A 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?
a. I see you are still hungry. I will get you some toast.
b. You ate your breakfast 30 minutes ago.
c. It appears you are confused this morning.
d. Your family will be here soon. Let's get you dressed.
Question 7A nurse assesses a client with Alzheimer's disease who is recently admitted to the hospital. Which psychosocial assessment should the nurse complete?
a. Assess religious and spiritual needs while in the hospital.
b. Identify the client's ability to perform self-care activities.
c. Evaluate the client's reaction to a change of environment.
d. Ask the client about relationships with family members.
Question 8A nurse plans care for a client with Parkinson disease. Which intervention should the nurse include in this client's plan of care?
a. Ambulate the client in the hallway twice a day.
b. Ensure a fluid intake of at least 3 liters per day.
c. Teach the client pursed-lip breathing techniques.
d. Keep the head of the bed at 30 degrees or greater.
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