A nurse is caring for a client who has Alzheimer's disease. The nurse discovers the client entering the room of another client, who becomes upset and frightened. Which of the following actions should the nurse take?

Attempt to determine what the client was looking for.

Reprimand the client for invading the other client's privacy.

Explain the client's Alzheimer's diagnosis to the frightened client.

Ask the client to apologize for his behavior.

Answer and Explanation

The Correct Answer is A

A. Attempt to determine what the client was looking for is the best response. In Alzheimer's disease, clients may exhibit wandering behavior and confusion, often seeking something familiar or trying to meet an unmet need. Understanding what the client was looking for can help address their needs and prevent further agitation.

B. Reprimanding the client for invading the other client's privacy is not appropriate. Clients with Alzheimer's disease may not be aware of the concept of privacy or the impact of their actions. Reprimanding can cause distress and confusion.

C. Explaining the client's Alzheimer's diagnosis to the frightened client may help provide understanding, but it does not address the immediate concern of calming the frightened client. The focus should be on managing the behavior in the moment.

D. Asking the client to apologize for his behavior is not appropriate, as the client may not have the cognitive ability to understand or remember the need to apologize. This could cause frustration and confusion.

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Correct Answer is A

Explanation

A. Vitamin K is the antidote for excessive anticoagulation caused by warfarin. It helps to reverse the effects of warfarin by promoting the synthesis of clotting factors.

B. Naloxone is used to reverse opioid overdose, not related to warfarin or its effects.

C. Disulfiram is used to treat alcohol use disorder by causing unpleasant effects when alcohol is consumed, and is unrelated to warfarin.

D. Protamine is used to reverse the effects of heparin, not warfarin.

A. Neutropenic precautions B. Contact isolation C. Universal precautions D. Droplet isolation

Correct Answer is D

Explanation

A. Neutropenic precautions are used for clients with compromised immune systems, such as those undergoing chemotherapy or bone marrow suppression. This is not appropriate for bacterial meningitis.

B. Contact isolation is used for infections that are transmitted through direct contact with the patient or their environment, such as MRSA or C. difficile. Bacterial meningitis, however, is spread through respiratory droplets.

C. Universal precautions refer to standard infection control practices (like hand hygiene and wearing gloves) that apply to all patients, but specific precautions are needed for certain infections like bacterial meningitis.

D. Droplet isolation is necessary for bacterial meningitis, as it is transmitted via respiratory droplets from coughing, sneezing, or talking. This isolation prevents the spread of the infection to others in close proximity.

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A nurse is caring for a client who has Alzheimer's disease. The nurse discovers the client entering the room of another client, who becomes upset and frightened. Which of the following actions should the nurse take?

Nursing Test Bank

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