An older adult client of a long-term care facility is awake at 0330 and wandering down the hall in unbuttoned pajamas. Which intervention should the practical nurse (PN) implement?
Bring the client to sit in the nursing station.
Administer a nighttime sedative.
Direct the client to go back to bed.
Engage the client to determine current needs.
The Correct Answer is D
A. Bringing the client to sit at the nursing station may not address the underlying cause of the wandering behavior and could be less effective in meeting the client’s immediate needs.
B. Administering a nighttime sedative is not a suitable solution for wandering behavior, as it may lead to adverse effects and does not address the root cause of the behavior.
C. Directing the client to go back to bed may not be effective, especially if the client is disoriented or confused. The approach should involve understanding and addressing the client's needs.
D. Engaging the client to determine current needs is the best approach, as it helps to understand the cause of the wandering and address it appropriately, such as providing comfort, reassurance, or addressing a specific need.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Palpating the brachial artery before inflating the blood pressure cuff is a correct technique to locate the artery and ensure accurate blood pressure measurement.
B. Counting respirations while palpating the radial pulse is a correct technique as it minimizes the risk of the client altering their breathing pattern.
C. Asking the client to relax their arm before taking the blood pressure is an appropriate step to ensure an accurate measurement.
D. Inserting a thermometer into the sublingual pocket after the client sips water can affect the accuracy of the temperature reading, as water can alter the temperature measurement.
Correct Answer is C
Explanation
A. Rayon can be irritating and is not as breathable as cotton, which can exacerbate eczema symptoms.
B. Polyester is synthetic and may irritate sensitive skin, potentially worsening eczema symptoms.
C. Cotton is recommended because it is soft, breathable, and less likely to irritate the skin, making it the most comfortable option for a child with eczema.
D. Silk can be irritating for sensitive skin and might not be as comfortable or breathable as cotton for a child with eczema.
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