Author Question: An 85-year-old client with dementia has a nursing diagnosis of Self-care deficit: bathing, hy-giene. ... (Read 55 times)

xroflmao · **on:** Jul 19, 2018

An 85-year-old client with dementia has a nursing diagnosis of Self-care deficit: bathing, hy-giene.

She lives at home and has not bathed for a month. Her 67-year-old daughter states that she thinks her mother may have forgotten how to take a shower. An appropriate outcome would be that the client will:
1. Bathe daily with reminders
2. Bathe twice weekly with assistance
3. Allow the nurse to totally manage hygiene
4. Remain free of skin diseases/lesions

Question 2

The nurse is administering donepezil (Aricept) to a client with stage 1 Alzheimer's disease. Based on this drug's mechanism of action, the nurse will seek evidence of improvement in the client's:

1. Ability to remember
2. Ability to tolerate stress
3. Social behaviors
4. Delusions and hallucinations

AngeliqueG · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 2
Bathing twice weekly would be a realistic goal. Assistance should be provided, both to prevent falls and to regulate shower temperature. 1. The elderly are advised not to bathe daily because it is too drying to their skin. 3. This may not be necessary; the client should retain as much autono-my as possible. 4. This goal is not directly related to the nursing diagnosis.

Answer to Question 2

ANS: 1
Donepezil is a cholinesterase inhibitor that increases the concentration of acetylcholine. Acetyl-choline is needed for intact memory and for learning. Thus the nurse will seek evidence of im-proved memory. 2. BuSpar might produce this effect. 3. Anticonvulsants might produce im-proved social behaviors. 4. Neuroleptics might produce reduction in these symptoms.