A nurse is providing teaching to the caregivers of a client who has Alzheimer's disease and wanders during the night about safety. Which of the following recommendations should the nurse make?
Encourage the client to rest during the day.
Ask the client why they continue to get out of bed.
Move the client's mattress to the floor.
Keep a television on at night in the client's room.
The Correct Answer is C
Choice A reason: Encouraging the client to rest during the day is not appropriate. Daytime rest can worsen nighttime wakefulness and wandering. Clients with Alzheimer’s benefit from structured daytime activity to promote nighttime sleep.
Choice B reason: Asking the client why they continue to get out of bed is ineffective. Clients with Alzheimer’s often cannot provide logical explanations due to cognitive decline. This approach does not enhance safety.
Choice C reason: Moving the mattress to the floor is correct because it reduces the risk of injury if the client attempts to get out of bed or falls. This is a practical safety intervention for clients who wander or are restless at night.
Choice D reason: Keeping a television on at night introduces noise and light, which can increase agitation and confusion. It disrupts sleep and does not prevent wandering.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Avocados contain tyramine, which can interact with monoamine oxidase inhibitors (MAOIs) like phenelzine, leading to hypertensive crisis. This option is unsafe and incorrect.
Choice B reason: Apple slices are safe because they do not contain tyramine. They are appropriate for clients taking MAOIs and provide a healthy, low-risk snack. This makes option B the correct answer.
Choice C reason: Bologna is a processed meat that contains high levels of tyramine. Consuming it while on phenelzine can trigger dangerous hypertensive reactions. This option is incorrect.
Choice D reason: Cheddar cheese is aged and contains tyramine. Aged cheeses are contraindicated for clients taking MAOIs due to the risk of hypertensive crisis. This option is incorrect.
Correct Answer is B
Explanation
Choice A reason: Fluticasone is an inhaled corticosteroid used for long-term control of asthma. It is not required to be administered before other inhaled medications; bronchodilators are usually given first to open airways before corticosteroids.
Choice B reason: Rinsing the mouth and gargling after each use is correct because inhaled corticosteroids can cause oral candidiasis (thrush). Rinsing removes residual medication and reduces this risk.
Choice C reason: Fluticasone is not used as needed; it is a maintenance medication taken regularly to prevent inflammation. Rescue inhalers such as albuterol are used for acute symptom control.
Choice D reason: Growth may be slowed, not accelerated, in children using inhaled corticosteroids. Monitoring growth is important during long-term therapy.
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