A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?

Allow the client to choose free-time activities

Post a written schedule of daily activities.

Provide a consistent daily routine.

Use an overhead loudspeaker to announce events

Answer and Explanation

The Correct Answer is C

Individuals with dementia often benefit from routine, but too many choices can be overwhelming.
B: While a written schedule can be helpful, a consistent routine is generally more beneficial for clients with dementia.
C: Providing a consistent daily routine helps decrease anxiety and confusion for clients with dementia.
D: Overhead loudspeakers may cause agitation and confusion in clients with dementia.

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Correct Answer is D

Explanation

A. While discomfort can occur, it is not an expected or acceptable part of end-of-life care. Effective pain management is a key priority, and discomfort should be addressed promptly to ensure the client’s comfort and dignity.

B. While true, this statement does not directly address the expectation of discomfort at the end of life.
C. While pain can be present in older adults, the statement does not specifically address the end-of-life context.
D.Fear of addiction is a common concern among clients and families, even at the end of life. Nurses should educate clients and families about the importance of managing pain effectively and emphasize that addiction is not a concern when opioids are used appropriately for end-of-life care. This helps alleviate anxiety and encourages adherence to prescribed pain management regimens.

A. A client who has swelling and tenderness around the wound B. A client who has brown crusting over the wound C. A client who has serosanguineous drainage from the wound D. A client who has urticaria and itching around the wound

Correct Answer is A

Explanation

A. Swelling and tenderness around the wound are common signs of infection, indicating an inflammatory response to the presence of bacteria.
B. Brown crusting over the wound may suggest the presence of a scab or dried exudate, which is a normal part of the healing process and not necessarily indicative of infection.
C. Serosanguineous drainage is a type of wound drainage that is typically not a sign of infection but rather a mix of clear and blood-tinged fluid.
D. Urticaria and itching around the wound suggest an allergic reaction rather than a wound infection.

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A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a newly licensed nurse about pain management during the end of life. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has a manifestation of a wound infection?

Correct Answer is A

Explanation

A nurse is assisting with planning a staff in-service on hospital-acquired infections (HAIs). The nurse should explain that which of the following portal for types of HAIS are included in the Hospital-Acquired Condition Reduction Program (HACRP)?

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