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 A
A. Keep the client's personal items within reach. Keeping the client's personal items within reach can provide a sense of familiarity and comfort, which may reduce anxiety or disorientation, thereby decreasing the tendency to wander.
Incorrect options:
B. "Tell the family that someone should plan to stay with the client.": While family involvement is important, this suggestion may not always be feasible. Additionally, it’s the nurse’s role to ensure the safety of the client within the facility.
C. "Place the client in a quiet room at the end of the hallway.": Isolating the client may increase confusion and feelings of disorientation.
D. "Provide bright lighting in the client's room at night.": Bright lights at night can disrupt sleep and may cause further disorientation. Dim or soft lighting or use of night lights in the room is generally more appropriate to promote restful sleep.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["15"]
Explanation
To calculate the dose of amantadine for a client with parkinsonism, the nurse needs to use the formula: Dose (mL) = Ordered dose (mg) / Available dose (mg/mL) x Available volume (mL).
In this case, the ordered dose is 150 mg, the available dose is 50 mg/5 mL, and the available volume is 5 mL.
Plugging these values into the formula, we get: Dose (mL) = 150 mg / (50 mg/5 mL) x 5 mL.
Simplifying, we get: Dose (mL) = 15 mL.
Therefore, the nurse should administer 15 mL of amantadine oral solution to the client.
Correct Answer is D
Explanation
A. "I will keep my walker at the end of my bed":
While keeping the walker at the end of the bed may be convenient, it is not a safety measure in itself. It's important for the client to use the walker as needed for support and stability, especially during ambulation.
B. "I will place an area rug at the entry of my bathroom":
Placing area rugs can be a fall hazard, as they may cause tripping. It is generally recommended to have non-slip surfaces, especially in areas prone to moisture like the bathroom.
C. "I will keep the fluorescent ceiling light on in my room at night":
While having adequate lighting is important for preventing falls, leaving a fluorescent ceiling light on all night may not be necessary. Using night lights or low-intensity lighting may be more appropriate to prevent disruption of sleep.
D. "I will place a bath seat in my shower to use when I bathe":
This is the correct statement. Using a bath seat in the shower provides stability and reduces the risk of slipping and falling while bathing. It is a proactive measure to enhance safety in the bathroom.
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