A client has been diagnosed with a dementia secondary to cerebral ...

[wrbasek0]

A client has been diagnosed with a dementia secondary to cerebral disease. The family members note the client has not been as sharp as he once was and that he has developed urinary inconti-nence and a gait disturbance.
 
  They attributed the first symptom to normal aging but were alarmed by the latter two symptoms. Based on this history, which of the following should come to mind?
  1. Normal pressure hydrocephalus
  2. Vitamin B12 deficiency
  3. Hepatic disease
  4. Tuberculosis

Question 2

When the family of a client who has been diagnosed with a dementia secondary to normal pres-sure hydrocephalus asks the nurse about prognosis, the nurse should reply:
 
  1. Unfortunately the prognosis is for a downhill course ending in death.
  2. There will be good days and bad days for the rest of the client's life.
  3. The symptoms usually remit after a shunt is inserted to drain fluid.
  4. We'll try our very best, but only time will tell how successful we are.

[ms_sulzle]

Answer to Question 1

ANS: 1
Normal pressure hydrocephalus is a disorder characterized by dementia, gait disorder, and uri-nary incontinence. Dilation of ventricles in the absence of increased CSF is a prominent manifes-tation. Early urinary incontinence is not seen in the disorders listed in the other options.

Answer to Question 2

ANS: 3
By relieving the cause, the symptoms of secondary dementias are largely reversible. The state-ments reflected in the other options do not reflect this fact.

[wrbasek0]

Thank you

[ms_sulzle]

No problemo