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 []

Explanation

Potential Condition:

B. Type 1 diabetes mellitus

The client’s symptoms of fatigue, blurred vision, dizziness, and headache, along with a high blood glucose level and HbA1C, suggest that they are experiencing hyperglycemia, a condition common in individuals with Type 1 diabetes mellitus.

Actions to Take:

B. Teach the client about the signs of hyperglycemia.
D. Assess the client’s feet for sensation.

Teaching the client about the signs of hyperglycemia will help them recognize when their blood sugar is high and take appropriate action. Assessing the client’s feet for sensation is also important as diabetes can lead to peripheral neuropathy, which can result in a loss of sensation in the feet.

Parameters to Monitor:

B. Blood pressure
D. Fingerstick blood glucose

Monitoring the client’s blood pressure is important as hypertension can be a complication of diabetes. Regularly checking the client’s fingerstick blood glucose levels will help ensure that their diabetes is being effectively managed.

A. Respiratory distress B. Sudden infant death syndrome C. Congenital anomalies D. Low birth weight

Correct Answer is B

Explanation

Choice A rationale

While respiratory distress can be a serious condition in infants, it is not the leading cause of death among this age group. Other conditions, such as sudden infant death syndrome and complications from premature birth, are more common causes of death in infants.

Choice B rationale

Sudden Infant Death Syndrome (SIDS) is indeed a leading cause of death among infants. It is a significant health concern and a major cause of post-neonatal death. SIDS is the unexplained death, usually during sleep, of a seemingly healthy baby less than a year old.

Choice C rationale

Congenital anomalies can cause death in infants, but they are not the leading cause. Conditions such as SIDS and complications from premature birth are more common causes of infant death.

Choice D rationale

Low birth weight can contribute to health problems in infants and increase the risk of infant mortality. However, it is not the leading cause of death among infants. Conditions such as SIDS and complications from premature birth are more common causes.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

A nurse is providing health promotion teaching to the parents of an infant.Which of the following conditions should the nurse identify as the leading cause of death among this age group?

Correct Answer is B

Explanation

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