A nurse in an acute care facility is admitting an older adult client diagnosed with Alzheimer’s disease.
The nurse notes that the client’s partner appears exhausted.
He states that he is finding it more and more difficult to care for his wife.
Which of the following interventions is the nurse’s priority?

Ask the partner to talk about his difficulties in caring for the client.

Recommend that the partner place the client in a long-term care facility.

Tell the partner to call a family meeting to get help.

Suggest that the partner see a counselor to help him cope with his exhaustion.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Asking the partner to talk about his difficulties in caring for the client is the nurse’s priority. This intervention allows the nurse to assess the partner’s emotional state and provide appropriate support and resources.

Choice B rationale

Recommending that the partner place the client in a long-term care facility may not be the best initial intervention. The decision to place a loved one in a long-term care facility is complex and involves many factors. The nurse should first assess the partner’s needs and concerns before making such a recommendation.

Choice C rationale

Telling the partner to call a family meeting to get help may be a helpful suggestion, but it is not the nurse’s priority. The nurse should first assess the partner’s emotional state and needs before suggesting specific interventions.

Choice D rationale

Suggesting that the partner see a counselor to help him cope with his exhaustion may be a helpful intervention, but it is not the nurse’s priority. The nurse should first assess the partner’s emotional state and needs before suggesting specific interventions.

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Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale

Pyorrhea, also known as periodontitis, is a severe gum infection that damages gums and can destroy the jawbone. It is not related to bleeding between menstrual periods.

Choice B rationale

Dysmenorrhea refers to painful periods, not bleeding between periods.

Choice C rationale

Menorrhagia is a term used to describe heavy or prolonged menstrual bleeding, not bleeding between periods.

Choice D rationale

Metrorrhagia is the term used to describe bleeding between menstrual periods. When documenting this finding, it’s helpful to keep a record of the menstrual cycle, noting when periods begin and end, the heaviness and duration of the flow, and when and how much bleeding occurs between periods.

A. Administer the insulin 30 minutes after breakfast along with the patient’s other routine medications. B. Administer the insulin at 0700. C. Administer the insulin at 0730. D. Administer the insulin when the breakfast tray arrives.

Correct Answer is C

Explanation

Choice A rationale

Administering the insulin 30 minutes after breakfast is not recommended. Regular insulin should be administered before meals.

Choice B rationale

Administering the insulin at 0700 is not recommended. Regular insulin should be administered 30 to 45 minutes before a meal.

Choice C rationale

Administering the insulin at 0730 is recommended if breakfast is at 0800. Regular insulin should be administered 30 to 45 minutes before a meal. This is the correct answer.

Choice D rationale

Administering the insulin when the breakfast tray arrives is not recommended. Regular insulin should be administered 30 to 45 minutes before a meal.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client reports experiencing bleeding between menstrual periods during a health history interview.How should the nurse document this finding?

Correct Answer is D

Explanation

A nurse is caring for a patient with diabetes and plans to administer regular insulin subcutaneously before breakfast at 0800.After checking the patient’s morning glucose level, what action should the nurse take?

Correct Answer is C

Explanation

A nurse is providing teaching for a client diagnosed with depression.Which of the following should the nurse identify as a primary risk factor for this disorder?

A nurse in a provider’s office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption.The nurse should recognize that which of the following is the most common risk factor for abruption?

A nurse is developing a care plan for a patient who has been diagnosed with idiopathic thrombocytopenic purpura (ITP). Which of the following symptoms is most important for the nurse to monitor?

As a nurse caring for a group of clients on an intrapartum unit, which of the following findings should be immediately reported to the provider?

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