A nurse is explaining the early stage of the dying process to a patient’s family.
A family member mentions, “My parent seems really confused at times.”. What is the most appropriate response from the nurse?
This is a normal cognitive change that is happening.
Your parent is experiencing sundowners.
Your parent might be feeling anxious.
Your parent might need more rest.
The Correct Answer is A
Choice A rationale
Confusion or disorientation can be a normal part of the dying process. As the body systems start to shut down, changes in mental status, including confusion, can occur.
Choice B rationale
Sundowning is a phenomenon that is typically associated with dementia, particularly Alzheimer’s disease, and is characterized by confusion and agitation that gets worse in the late afternoon and evening. It is not specifically associated with the dying process.
Choice C rationale
While anxiety can occur at any stage of illness, it is not the most appropriate response in this context. The family member is specifically asking about confusion, not anxiety.
Choice D rationale
Needing more rest could be a part of the dying process, but it does not directly address the family member’s concern about confusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Correct Answer is A
Explanation
Choice A rationale
Amoxicillin-clavulanate is a type of antibiotic that falls under the class of penicillin antibiotics. If a patient is allergic to penicillin, they should not take amoxicillin as it belongs to the penicillin class of antibiotics and must be avoided. Therefore, if a nurse is caring for a child who is allergic to penicillin, they should verify a prescription for amoxicillin-clavulanate with the provider.
Choice B rationale
Gentamicin is an aminoglycoside antibiotic, not a penicillin antibiotic. Therefore, it is generally safe for use in patients with a penicillin allergy.
Choice C rationale
Erythromycin is a macrolide antibiotic, not a penicillin antibiotic. Therefore, it is generally safe for use in patients with a penicillin allergy.
Choice D rationale
Amphotericin B is an antifungal medication, not an antibiotic. Therefore, it is generally safe for use in patients with a penicillin allergy.
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