A nurse is discussing home care concerns with the son of a client who has Alzheimer's disease. The son states, "I am so tired all the time, but Mom needs me." Which of the following responses should the nurse make?

"You should think about placing your mother in a long-term care facility."

"I think you should find other family members who could help your mother."

"You owe it to your mother to take care of her now that she needs you."

"Let me give you some information about respite care for your mother."

Answer and Explanation

The Correct Answer is D

A.   The decision to place a loved one in long-term care is complex and should be made based on the family's needs and situation, not dictated by the nurse.
B.   Suggesting the son find other family members for help is a reasonable idea, but it does not directly address his fatigue.
C.   While taking care of a loved one is important, making the son feel obligated is not supportive or helpful.
D.   Correct. Respite care provides temporary relief to caregivers and can help address the son's fatigue while ensuring his mother's needs are met.

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Correct Answer is C

Explanation

The correct answer is choicec. Assign the client to a negative-pressure airflow room.

Choice A rationale:

Administering aspirin to a client with varicella zoster is not recommended due to the risk of Reye’s syndrome, a serious condition that can cause swelling in the liver and brain.

Choice B rationale:

While contact precautions are important, varicella zoster also requires airborne precautions due to its highly contagious nature. This means that simply initiating contact precautions is not sufficient.

Choice C rationale:

Assigning the client to a negative-pressure airflow room is crucial because it helps contain the airborne virus and prevents it from spreading to other areas of the hospital.

Choice D rationale:

Having visitors remain at least 0.91 m (3 feet) away from the client is a good practice, but it is not sufficient on its own to prevent the spread of the virus. Airborne precautions, including a negative-pressure room, are necessary.

A. Semi Fowler’s B. Dorsal recumbent C. Supine D. Left lateral

Correct Answer is A

Explanation

A. Correct. Placing the client in Semi Fowler’s position with the head of the bed elevated helps reduce swelling and pressure on the neck after thyroid surgery.
B. Dorsal recumbent position might not provide the necessary support and elevation for the client's neck after thyroid surgery.
C. The supine position might not be as optimal as Semi Fowler’s for comfort and healing after thyroid surgery.
D. The left lateral position is not typically used for postoperative care after a thyroidectomy.

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A nurse is discussing home care concerns with the son of a client who has Alzheimer's disease. The son states, "I am so tired all the time, but Mom needs me." Which of the following responses should the nurse make?

Nursing Test Bank

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Correct Answer is A

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