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A nurse is assessing a client with a suspected focal seizure. Which characteristic is most indicative of a focal motor seizure?
Repetitive lip smacking and eye blinking with altered awareness
Which laboratory result would best confirm a diagnosis of osteoporosis in a postmenopausal client?
Decreased bone density on a DEXA scan
Which strategy is most effective for enhancing a client's functional health literacy?
Using simple language and avoiding medical jargon.
A nurse is assessing a client who has been diagnosed with dementia. The client struggles to complete a three-step command. Which aspect of cognition is most likely affected?
Executive function
A nurse is assessing a client with early-onset Alzheimer's disease. Which manifestation is most likely to be observed
Difficulty remembering recent event
A patient with diabetes is experiencing sudden vision loss. Which condition should the nurse suspect as the most likely cause?
Diabetic retinopathy
Which intervention should the nurse prioritize for a client with a spinal cord injury at T6 who is experiencing autonomic dysreflexia?
Elevate the head of the client’s bed to 90 degrees.
Which diagnostic test would be most beneficial in confirming the structural etiology of a client's seizures?
MRI
Which of the following interventions should a nurse prioritize for a client experiencing acute back pain?
Cold therapy
In planning care for a client with vascular dementia, what is the primary focus of interventions
Improving blood flow to the brain
What is the main reason for choosing a below-the-knee amputation over an above-the-knee amputation?
Improved functional outcome and mobility
During a routine eye examination, a client reports seeing halos around lights. What condition should the nurse consider as a priority?
Cataracts
A client with chronic back pain reports new onset of urinary incontinence. What should the nurse do next?
Report to the healthcare provider immediately
Which environmental modification is most beneficial for a client with moderate-stage Alzheimer's disease experiencing agitation?
Reducing excessive noise in the room
A nurse is planning care for a client with newly diagnosed osteoporosis. Which dietary recommendation should the nurse prioritize?
Consume more calcium-rich foods like dairy products and leafy greens
A client with low health literacy struggles to understand their medication regimen due to complex instructions. What intervention should the nurse prioritize?
Provide visual aids to simplify medication instructions.
Which of the following is an appropriate intervention for a client with dementia experiencing sundowning
Implementing a consistent evening routin
n planning care for a client with epilepsy, which goal should a nurse prioritize to ensure safety during a seizure episode
The client will be in a safe environment to prevent injury during seizures.
A patient presents with gangrene of the foot due to peripheral vascular disease. What clinical sign would confirm the necessity for amputation?
black discoloration of the skin
A patient diagnosed with glaucoma is prescribed medications to lower intraocular pressure. Which nursing intervention is most important to emphasize?
Correct administration of eye drop
A nurse is planning care for a client with paraplegia due to a thoracic spinal cord injury. Which goal should be prioritized?
Maintain optimal skin integrity to prevent pressure ulcers.
A client with epilepsy is prescribed valproic acid. Which adverse effect should the nurse monitor for during implementation of care?
Hepatotoxicity
A client with Alzheimer's disease is prescribed lecanemab. What is the expected outcome of this treatment?
Reduction in beta-amyloid plaque
Which therapeutic intervention is most appropriate for a client with chronic lower back pain seeking non-pharmacologic treatment?
Regular yoga practice
how can a nurse best support a client with macular degeneration in maintaining independence?
Teach the client to use magnifying devices.