A nurse is collecting data from the caregiver of a client who has Alzheimer's disease. The caregiver reports the client has difficulty sleeping at night and wanders throughout the house.
Which of the following interventions should the nurse recommend?
Give the client a barbiturate medication at bedtime.
Encourage the client to take frequent walks during the day.
Allow the client to nap for at least 1 hr during the day.
Put a simple lock on the client's bedroom door.
The Correct Answer is B
As a nurse, the intervention that should be recommended is encouraging the client to take frequent walks during the day. This will help the client expend some energy and reduce the restlessness that could be causing the sleep disturbance at night.
The other options are not recommended because barbiturate medications can cause excessive sedation, allowing the client to nap for at least 1 hour during the day can interfere with their ability to sleep at night, and putting a lock on the client's door can be a safety risk in case of an emergency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Leukorrhea refers to the increased vaginal discharge that is common during pregnancy. It is usually thin, white, or milky in appearance and is caused by hormonal changes and increased blood flow to the vaginal area. Informing the client about this normal pregnancy symptom can help alleviate concerns and promote reassurance.
Facial swelling, especially during the first trimester, is not a common discomfort experienced in early pregnancy. It can be a symptom of other underlying medical conditions, such as preeclampsia, which should be evaluated by a healthcare provider.
While gastrointestinal changes and bowel irregularities can occur during pregnancy, including constipation, diarrhea is not typically associated with the first trimester. Persistent or severe diarrhea should be assessed by a healthcare provider as it can indicate an underlying issue or infection.
Burning or discomfort during urination is not a typical discomfort of the first trimester. It is more commonly associated with urinary tract infections (UTIs) or other urinary issues. If a client experiences these symptoms, they should be evaluated by a healthcare provider for appropriate diagnosis and treatment.
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
Explanation
The client's symptoms are concerning for angina or a possible myocardial infarction (heart atack) and require immediate intervention. Nitroglycerin is a medication that can help relieve chest pain associated with cardiac events by dilating blood vessels and reducing the workload on the heart.
Therefore, the nurse should administer nitroglycerin as ordered by the provider. After administering nitroglycerin, the nurse should obtain an ECG to assess for any changes in cardiac rhythm or evidence of ischemia (lack of blood flow to the heart muscle).
The ECG can provide important diagnostic information and guide further treatment decisions.
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