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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A, "I will attend a support group to help me handle difficulties when they occur." This statement indicates that the client is accepting the situation and taking proactive steps to manage any difficulties that may arise. Choice B is incorrect because relying on someone else to empty the bag suggests possible denial or avoidance of the situation. Choice C is incorrect because normal bowel movements after an ileostomy may not happen. Choice D is incorrect because it is not related to acceptance of the ileostomy. Choice B is not correct because it shows possible denial or avoidance of the situation. Choice C is not correct because normal bowel movements may not occur. Choice D is not correct because it is not related to acceptance of the ileostomy.
Correct Answer is B
Explanation
The correct answer is choice B. Aprepitant is an antiemetic medication used to prevent nausea and vomiting associated with chemotherapy. Choice A is incorrect because decreased dysrhythmias is not a therapeutic effect of aprepitant. Choice C is incorrect because decreased incisional pain is not a therapeutic effect of aprepitant. Choice D is incorrect because absence of dizziness is not a therapeutic effect of aprepitant. Choice A is not correct because decreased dysrhythmias is not a therapeutic effect of aprepitant. Choice C is not correct because decreased incisional pain is not a therapeutic effect of aprepitant. Choice D is not correct because absence of dizziness is not a therapeutic effect of aprepitant.
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