An older adult client is admitted to the psychiatric unit for assessment of a recent onset of dementia. The practical nurse (PN) notes that in the evening this client often becomes restless, confused, and agitated. Which intervention is most important for the PN to implement?
Administer a prescribed PRN benzodiazepine at the onset of a confused state.
Ensure that the client is assigned to a room close to the nurses' station.
Postpone administration of nighttime medications until after 2300.
Ask family members to remain with the client in the evenings from 1700 to 2000.
The Correct Answer is B
A. Administering a PRN benzodiazepine is a reactive measure and might not be the best first line of intervention for managing the client's restlessness and confusion, as it does not address the underlying issue.
B. Assigning the client to a room close to the nurses' station can help manage restlessness, confusion, and agitation by ensuring the client is monitored more closely and can receive timely interventions.
C. Postponing nighttime medications might not address the immediate issues of restlessness and confusion, and could potentially disrupt the client's sleep-wake cycle.
D. Asking family members to stay with the client provides support but may not be a feasible or consistent solution for managing the client’s evening agitation and restlessness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Applying an ice pack can help manage pain and reduce swelling, but it is not the immediate priority. It is essential first to assess for complications that may require different interventions.
B. Observing the suture line for separation and hematoma formation is the first step in managing pain. Identifying possible complications like suture line issues or hematomas will guide the appropriate treatment.
C. Initiating warm sitz baths is beneficial for pain management and healing, but it should be done after assessing the episiotomy for potential complications. It is a supportive measure rather than an immediate assessment action.
D. Checking the medication administration record is relevant for managing pain but is secondary to assessing the condition of the episiotomy site. The first priority is to evaluate the site for any physical complications.
Correct Answer is ["1.5"]
Explanation
- Determine the total milligrams needed: The prescription is for 600 mg.
- Identify the concentration of the medication available: The vial is labeled as 400 mg/mL.
- Calculate the volume required to provide the prescribed dose: Divide the total milligrams needed by the concentration.
- Perform the calculation: 600/400= 1.5
Answer = 1.5 ml
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