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    RN Comprehensive Predictor 2023 Proctored Exam

    A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?

    Explanation & Rationale

    A. Place locks at the tops of exterior doors: Clients with Alzheimer’s disease are at high risk for wandering. Installing locks out of the client’s line of sight, such as at the tops of doors, enhances safety by reducing the chance of unsupervised exit. B. Wear clothing with zippers instead of buttons: While simplifying clothing is helpful, Velcro or elastic waistbands are typically easier for clients with cognitive decline than zippers, which can still be difficult to manage. C. Encourage physical activity prior to bedtime: Physical activity should be scheduled earlier in the day. Stimulating activity near bedtime may worsen sleep disturbances or contribute to sundowning in clients with Alzheimer’s disease. D. Replace the carpet with hardwood floors: Removing carpet can increase the risk of slipping and falling. Soft flooring like carpet may actually provide better traction and cushion in the event of a fall.

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