Free NCLEX-RN Exam Braindumps (page: 256)

Page 256 of 431

A 60-year-old woman exhibits forgetfulness, emotional lability, confusion, and decreased concentration. She has been unable to perform activities of daily living without assistance. After a thorough medical evaluation, a diagnosis of Alzheimer's disease was made. An appropriate nursing intervention to decrease the anxiety of this client would include:

  1. Allowing the client to perform activities of daily living as much as possible unassisted
  2. Confronting confabulations
  3. Reality testing
  4. Providing a highly stimulating environment

Answer(s): A

Explanation:

(A) This answer is correct. The more the client is able to control her daily routine, the less anxiety she will experience. (B) This answer is incorrect. Confrontation tends to increase anxiety. (C) This answer is incorrect. Reality testing is an assessment tool. It does not decrease anxiety. (D) This answer is incorrect. A highly stimulating environment increases distractibility and anxiety.



A 60-year-old woman exhibits forgetfulness, emotional lability, confusion, and decreased concentration. She has been unable to perform activities of daily living without assistance. After a thorough medical evaluation, a diagnosis of Alzheimer's disease was made. An appropriate nursing intervention to decrease the anxiety of this client would include:

  1. Allowing the client to perform activities of daily living as much as possible unassisted
  2. Confronting confabulations
  3. Reality testing
  4. Providing a highly stimulating environment

Answer(s): A

Explanation:

(A) This answer is correct. The more the client is able to control her daily routine, the less anxiety she will experience. (B) This answer is incorrect. Confrontation tends to increase anxiety. (C) This answer is incorrect. Reality testing is an assessment tool. It does not decrease anxiety. (D) This answer is incorrect. A highly stimulating environment increases distractibility and anxiety.



Chorioamnionitis is a maternal infection that is usually associated with:

  1. Prolonged rupture of membranes
  2. Postterm deliveries
  3. Maternal pyelonephritis
  4. Maternal dehydration

Answer(s): A

Explanation:

(A) Chorioamnionitis is an inflammation of the chorion and amnion that is generally associated with premature or prolonged rupture of membranes. (B) Postterm deliveries have not been shown to increase the risk of chorioamnionitis unless there has been prolonged rupture of membranes. (C) Pyelonephritis is a kidney infection that develops in 20%­40% of untreated maternal UTIs. (D) Maternal dehydration, though of great concern, is not related to chorioamnionitis.



Chorioamnionitis is a maternal infection that is usually associated with:

  1. Prolonged rupture of membranes
  2. Postterm deliveries
  3. Maternal pyelonephritis
  4. Maternal dehydration

Answer(s): A

Explanation:

(A) Chorioamnionitis is an inflammation of the chorion and amnion that is generally associated with premature or prolonged rupture of membranes. (B) Postterm deliveries have not been shown to increase the risk of chorioamnionitis unless there has been prolonged rupture of membranes. (C) Pyelonephritis is a kidney infection that develops in 20%­40% of untreated maternal UTIs. (D) Maternal dehydration, though of great concern, is not related to chorioamnionitis.



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