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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B rationale
When a couple is found to be carriers of an autosomal-recessive disorder, one of the actions the nurse can take is to discuss options with the couple, including amniocentesis to determine if their fetus is affected. This procedure can provide definitive information about the genetic status of the fetus, allowing the couple to make informed decisions about the pregnancy.
Correct Answer is B
Explanation
Choice A rationale
Increasing the rate of maintenance IV infusion is not the first action the nurse should take when observing that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. This pattern is known as late decelerations and is often associated with fetal hypoxemia due to insufficient placental perfusion.
Choice B rationale
The nurse should first place the client in the lateral position. This position can improve placental blood flow and may help to resolve the late decelerations.
Choice C rationale
Administering oxygen using a nasal cannula may be beneficial, but it is not the first action the nurse should take. The priority is to improve placental blood flow, which can be achieved by changing the client’s position.
Choice D rationale
Elevating the client’s legs is not the first action the nurse should take. This action would not directly address the issue of late decelerations.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.