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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While the Morse Fall Risk scale is important for assessing fall risk, it is not the priority after an ORIF procedure. The client’s neurovascular status should be closely monitored to prevent complications.
B. A neurovascular assessment is the priority after an ORIF of the femur. This includes checking for circulation, sensation, and movement (CSM) in the affected leg to ensure there is no compromise to the blood flow or nerve function. This is crucial to detect complications like compartment syndrome or circulatory impairment early.
C. The Braden scale is used to assess the risk for pressure ulcers and is important but not the priority after surgery. Neurovascular status takes precedence in the postoperative period.
D. Pain assessment is important for managing the client’s comfort, but it is secondary to ensuring proper neurovascular function to prevent further complications such as ischemia or nerve damage.
Correct Answer is D
Explanation
A. Loss of hearing is not a common or expected manifestation of pernicious anemia. It is typically associated with other conditions, such as age-related hearing loss or certain types of neurological disorders.
B. Muscle wasting is not a typical manifestation of pernicious anemia. While muscle weakness may occur, it is not generally characterized by muscle wasting.
C. Changes in vision are not a common manifestation of pernicious anemia. However, some neurological symptoms may affect vision, but these are typically secondary to more severe or untreated cases.
D. Paresthesia (numbness or tingling, especially in the hands and feet) is a common manifestation of pernicious anemia due to vitamin B12 deficiency, which can lead to neurological impairment. This poses a safety risk as it can affect the client’s ability to feel and respond to environmental stimuli, increasing the risk of falls or injury.
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