A nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls. Which of the following actions should the nurse take?

Apply a motion sensor mat to the client's bed.

Move the overbed table away from the bed.

Raise all four side rails while the client is in bed.

Leave the television on in the client's room.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A, apply a motion sensor mat to the client's bed. This is an effective intervention to monitor the client's movements and prevent falls. The mat is placed under the bed sheet and will sound an alarm if the client tries to get out of bed.

Moving the overbed table away from the bed is not the correct answer because it does not prevent falls.
Raising all four side rails while the client is in bed is not the correct answer because it can cause the client to feel trapped and can lead to injuries if they try to climb over the rails.
Leaving the television on in the client's room is not the correct answer because it can be distracting and interfere with the client's sleep.

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Correct Answer is A

Explanation

The correct answer is choice a. Limit fluid intake during meals.

Choice A rationale:

Limiting fluid intake during meals can help prevent the stomach from becoming too full, which can make breathing more difficult for someone with COPD.

Choice B rationale:

Eliminating dairy products is not typically recommended for COPD patients unless they have a specific intolerance or allergy. Dairy does not generally affect COPD symptoms.

Choice C rationale:

Consuming three regular meals daily might be challenging for COPD patients who often have reduced appetite and may benefit more from smaller, frequent meals.

Choice D rationale:

Eating lighter, low-calorie foods first is not advisable for COPD patients who need nutrient-dense foods to maintain their energy levels and overall health.

A. Blood pressure B. Temperature C. Neurologic status D. Laboratory results

Correct Answer is C

Explanation

Clients with a left-sided stroke will have neurological deficits on the right side of the body, including paralysis or weakness. Impaired speech, language, and cognition are also possible. Blood pressure, temperature, and laboratory results may be affected by the stroke, but they are not specific to a left-sided stroke.

Option A, "Blood pressure," is incorrect because it may be affected by the stroke, but it is not specific to a left-sided stroke.

Option B, "Temperature," is incorrect because it may be affected by the stroke, but it is not specific to a left-sided stroke.

Option D, "Laboratory results," is incorrect because they may be affected by the stroke, but they are not specific to a left-sided stroke.

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A nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has COPD and reports shortness of breath and little appetite. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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