A nurse is caring for an older adult client who has dementia and whose family reports he gets up and wanders around at night. Which of the following actions should the nurse take?
Keep the client's personal items within reach.
Tell the family that someone should plan to stay with the client.
Place the client in a quiet room at the end of the hallway.
Provide bright lighting in the client's room at night.
The Correct Answer is C
A. Keeping the client's personal items within reach may be a good practice for convenience but does not directly address the issue of nighttime wandering. Safety and supervision are key considerations.
B. Telling the family that someone should plan to stay with the client might be a temporary solution but may not be sustainable or practical in the long term. Additionally, institutional settings often have policies and resources to address nighttime wandering.
C. Placing the client in a quiet room at the end of the hallway can help minimize disturbances to other residents while providing a safer and more controlled environment. It can also reduce the risk of the client wandering into potentially unsafe areas.
D. Providing bright lighting in the client's room at night may contribute to disorientation and disrupt the sleep-wake cycle. It is generally recommended to maintain a calm and dimly lit environment during nighttime hours to promote rest.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Instruct the clients to use the call light.
Encouraging clients to use the call light enables them to request assistance when needed, reducing the risk of falls if they need help to move or get out of bed.
B. Move overbed tables away from the bed.
Clearing the area around the bed, including overbed tables, reduces obstacles and potential hazards that clients might trip over or get tangled in.
C. Place a fall risk wristband on each of the clients.
Identifying clients at risk for falls by using wristbands helps alert all healthcare staff to take necessary precautions and provide appropriate assistance to prevent falls.
D. Perform client checks every 4 hr.
Regular client checks allow the nurse to monitor their condition, reposition them if necessary, assist with toileting needs, and ensure they're safe, especially during the night when falls might be more likely.
E. Keep the clients' rooms dark.
Keeping the room dimly lit during the night can help clients sleep better but should still provide enough light for safe movement. Complete darkness might increase the risk of falls if clients need to move around.
Correct Answer is ["10"]
Explanation
To calculate the dose of valproic acid oral solution, the nurse should use the following formula:
Dose (mL) = Desired dose (mg) / Concentration (mg/mL)
Plugging in the values from the question, we get:
Dose (mL) = 500 mg / (250 mg / 5 mL)
Simplifying the fraction, we get:
Dose (mL) = 500 mg / 50 mg/mL
Dividing both sides by 50, we get:
Dose (mL) = 10 mL
Therefore, the nurse should administer 10 mL of valproic acid oral solution.
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