A nurse is caring for a client who has moderate Alzheimer's disease. During weekly home visits, the nurse notices that the client's caregiver is tired, irritable, and impatient with the client. Which of the following actions should the nurse recommend to the caregiver?
Consider respite care services.
Contact hospice services for end-of-life care.
Pursue local protective services.
Take a nonprescription sleeping medication.
The Correct Answer is A
A. Respite care services provide temporary relief for caregivers, allowing them to take breaks and avoid burnout. This recommendation addresses the caregiver's fatigue and stress, helping to prevent caregiver exhaustion and improve their well-being.
B. Hospice services are appropriate for end-of-life care, but the client with moderate Alzheimer's disease is not at the end of life, so this is not the most appropriate recommendation at this stage.
C. Pursuing local protective services is necessary if there is evidence of abuse or neglect. However, the issue here seems to be caregiver stress, not abuse, so this action is not warranted.
D. Taking a nonprescription sleeping medication might address some symptoms of fatigue but does not address the underlying issue of caregiver burnout. Respite care is a more effective solution for the caregiver's needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A sore throat is a common and expected side effect following extubation. It typically resolves on its own and does not require immediate intervention.
B. Rhonchi are low-pitched, rattling sounds that are usually caused by the presence of mucus in the larger airways. While they can indicate airway obstruction, they are not as urgent as stridor.
C. A SaO2 of 92% is slightly below the normal range (typically 95-100%), but it is not an immediate emergency. The nurse should continue monitoring oxygen levels and intervene if they drop further.
D. Stridor is a high-pitched, wheezing sound caused by obstruction or narrowing of the upper airway. It is a medical emergency and requires immediate intervention to prevent complete airway obstruction.
Correct Answer is A
Explanation
A. A low pressure alarm on the ventilator often indicates a leak in the system, which can be due to a cuff leak in the endotracheal tube or tracheostomy. The nurse should evaluate for a cuff leak or other issues that may be causing the air to escape.
B. While water in the ventilator tubing can cause a high pressure alarm, it is less likely to trigger a low pressure alarm. Emptying the water from the tubing may be necessary but is not the first priority in this situation.
C. Increasing the ventilator flow rate is not an appropriate response to a low pressure alarm. The problem is likely a leak, and addressing the leak is more important than adjusting the flow rate.
D. Suctioning the client's airway may be necessary if the client has secretions that are obstructing the airway, but it is not the first intervention for a low pressure alarm. The primary concern should be checking for a leak or disconnection.
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