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    Ati 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. Wear clothing with zippers instead of buttons: Clothing with zippers can be difficult for clients with Alzheimer’s disease who have fine motor skill deficits or cognitive impairment. Buttons or Velcro closures are typically easier for self-dressing and promote independence. B. Place locks at the tops of exterior doors: Installing locks at higher levels prevents wandering, which is a common safety risk in clients with Alzheimer’s disease. This intervention helps reduce the risk of injury or elopement while allowing the client to move safely within supervised areas. C. Encourage physical activity prior to bedtime: Physical activity close to bedtime can increase alertness and interfere with sleep. For clients with Alzheimer’s, promoting activity earlier in the day is more appropriate to maintain sleep-wake cycles and reduce nighttime agitation. D. Replace the carpet with hardwood floors: Removing carpet may reduce tripping hazards in some cases, but hardwood floors can increase the risk of slipping and injury, especially for clients with balance or gait impairments. Non-slip flooring is preferred over bare hardwood for safety.

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