A client with a medical diagnosis of dementia of Alzheimer's type ...

[Chloeellawright]

A client with a medical diagnosis of dementia of Alzheimer's type (DAT) has been increasingly agitated in recent days.
 
  As a result, the nurse has identified the nursing diagnosis of risk for injury related to agitation and confusion and an outcome of the client will remain free from injury. What intervention should the nurse use in order to facilitate this outcome?
 
  A) Apply restraints and place the client in seclusion as necessary.
  B) Use the least restrictive devices if necessary.
  C) Explain to the client the relationship between agitation and injury.
  D) Set limits with the client around behavior.

Question 2

The nurse understands that numerous comorbidities can contribute to the development of dementia. Which of the following clients may be at risk for dementia?
 
  A) An 87-year-old resident of a long-term care facility who has developed a urinary tract infection
  B) A 69-year-old man whose lung cancer has metastasized to his bones and liver
  C) A 30-year-old client with schizophrenia who has been admitted to the hospital because of psychogenic polydipsia
  D) A 49-year-old man whose human immunodeficiency virus (HIV) has progressed to acquired immunodeficiency syndrome (AIDS)

[matt95]

Answer to Question 1

Ans: B
If restrictive devices are necessary, they should be used as a measure of last resort using the least restrictive device possible. Seclusion would be unsafe, and teaching and setting limits are unlikely to be effective interventions with a client who has a cognitive disorder.

Answer to Question 2

Ans: D
HIV/AIDS is known to cause dementia. Cancer does not normally result in dementia, and the cognitive changes that may result from a UTI or polydipsia are reversible and thus classified as delirium.

[Chloeellawright]

Gracias!

[cpetit11]

Thanks for the timely response, appreciate it