A nurse is reinforcing teaching about environmental modifications in the home with a family member of a client who has Alzheimer's disease. Which of the following information should the nurse include in the teaching?
Leave the television on.
Install locks at the top of doors.
Place throw rugs on the floor.
Schedule alternate caregivers.
The Correct Answer is B
Choice A Reason:
Leaving the television on is incorrect. Constant background noise from the television might be overwhelming and confusing for someone with Alzheimer's. It's generally better to have a quiet and calming environment to reduce agitation and confusion.
Choice B Reason:
Installing locks at the top of doors is correct. This can be an essential safety measure to prevent the person from wandering or accessing unsafe areas. Installing locks higher up on doors can help prevent the individual from opening doors and wandering into potentially dangerous situations.
Choice C Reason:
Placing throw rugs on the floor is incorrect. Throw rugs pose a tripping hazard, especially for individuals with Alzheimer's who might have mobility issues or difficulties with depth perception. Removing throw rugs or securing them firmly to the floor is essential to prevent falls.
Choice D Reason:
Scheduling alternate caregivers is incorrect. While having alternate caregivers is important for support, it doesn't directly relate to environmental modifications within the home.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Leave the television on in the client's room is incorrect. Leaving the television on doesn't directly address the safety concern of falls. While it might provide some distraction or comfort, it doesn't mitigate the risk of the client attempting to leave the bed unsafely.
Choice B Reason:
Raise all four side rails while the client is in bed is incorrect. Using all four side rails can be considered a form of restraint and is generally not recommended due to the risk of entrapment and potential psychological distress for the client. It can also increase the risk of agitation and attempts to climb over the rails, potentially resulting in falls.
Choice C Reason:
Move the overbed table away from the bed is incorrect. Moving the overbed table might reduce clutter around the bed area, but it doesn't directly address the risk of falls for a client with dementia. It's more about optimizing the environment than specifically addressing the safety concern related to the client's condition.
Choice D Reason:
Apply a motion sensor mat to the client's bed is correct. For an older adult with dementia at risk for falls, a motion sensor mat can be an effective safety measure. It alerts the staff when the client attempts to get out of bed, allowing for timely intervention to prevent falls. This helps the nursing staff respond promptly, ensuring the client's safety.
Correct Answer is ["10"]
Explanation
Given:
Diphenhydramine syrup: 12.5 mg/5 MLX
Required dose: 25 mg
First, determine the ratio of the available dosage strength to the required dose:
12.5 mg (available dose) / 5 mL (volume) = 25 mg (required dose) / X mL
Cross-multiply to find X (the amount of syrup needed):
12.5 mg X mL = 25 mg 5 mL
Now, solve for X:
X = (25 mg 5 mL) / 12.5 mg
X = 125 / 12.5
X = 10
Therefore, the nurse should administer 10 mL of diphenhydramine syrup to provide a dose of 25 mg to the older adult client with rhinitis.
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