A nurse cares for a client with advanced Alzheimer's disease. The ...

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A 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 2

A 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

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Answer to Question 1

ANS: B
Several strategies may be used to cope with restlessness and wandering. One strategy is to engage the client in structured activities. Another is to take the client for frequent walks. Daily naps and a mild sedative will not be as effective in the management of restless behavior. Consulting the social worker does not address the caregiver's concern.

Answer to Question 2

ANS: B
Adverse effects of levetiracetam include coordination problems and renal toxicity. The other laboratory tests are not affected by levetiracetam.

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Thank you

[af]

Happy to help you