An older adult female client is admited to the psychiatric unit for assessment of a recent onset of dementia. The practical nurse (PN) notes that in the evening, the client becomes restless, confused, and agitated.

Which instruction should the PN provide to the unlicensed assistive personnel who is assisting in the care of the client?

Calmly oﬀer to walk around the hallways with the client.

Make sure the room lights are dimmed to calm the client.

Leave the client alone until signs of agitation have passed.

Measure the client's vital signs at the onset of agitation.

Answer and Explanation

The Correct Answer is A

Restlessness, confusion, and agitation in the evening are common symptoms of sundowning, which is a condition that aﬀects some older adults with dementia. Oﬀering to walk around the hallways with the client can provide a calming eﬀect and reduce the symptoms of sundowning.

Dimming the lights may actually increase confusion and agitation, and leaving the client alone may increase feelings of isolation and fear.

Measuring the client's vital signs may not be necessary unless there are specific medical concerns.

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Correct Answer is A

Explanation

Dimming the lights may actually increase confusion and agitation, and leaving the client alone may increase feelings of isolation and fear.

Measuring the client's vital signs may not be necessary unless there are specific medical concerns.

A. An infection of the middle ear. B. A drainage out of the outer ear. C. A defect of the inner ear. D. An infection of the inner and outer ear.

Correct Answer is A

Explanation

Explanation: Acute otitis media is a common childhood illness that refers to an infection of the middle ear. It occurs when the Eustachian tube, which connects the middle ear to the back of the throat, becomes blocked and ﬂuid accumulates in the middle ear. This ﬂuid provides a breeding ground for bacteria, leading to infection and inﬂammation. Symptoms of acute otitis media can include ear pain, fever, irritability, and difficulty hearing. It is important for the PN to provide accurate information to the mother and to explain the treatment plan, which may include antibiotics and pain relief measures, as prescribed by the healthcare provider.

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The mother of a 3-year-old asks the practical nurse (PN) to clarify the healthcare provider's diagnosis of acute otitis media. Which is the most accurate explanation?

Correct Answer is A

Explanation

The practical nurse (PN) is caring for a client in the preoperative holding area who is waiting for abdominal surgery. The client tells the PN about feeling afraid and anxious because of the surgery. Which technique is best for the PN to assist the client to use while waiting for surgery?

At a prenatal visit, a primigravida client confides to the practical nurse (PN) that her partner is abusive. Which information should the PN provide?

The practical nurse (PN) is caring for a client that has just arrived in the emergency department with 2nd degree thermal burns to the right thigh, lower leg and foot, and reports severe pain in the right leg. Which priority action should the PN take while caring for this patient?

A 4-year-old girl is brought to the emergency room with a fractured arm. Which information should be a basis for the practical nurse (PN) to suspect child abuse?

The practical nurse (PN) is caring for a client who has been diagnosed with gestational diabetes mellitus. Which complication should the PN recognize as the greatest risk to the fetus if euglycemia is not maintained?

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