The daughter of an older woman who has Parkinson's disease, calls the clinic and reports that her mother has been confused for the past week. Which action(s) should the nurse take? (Select all that apply.)
Determine if the mother has recently experienced a fall.
Review the client's current food and medication allergies.
Encourage increased intake of high protein foods.
Instruct the daughter to check her mother's temperature.
Ask if the mother is experiencing any pain with
Correct Answer : A,B,D,E
A. Confusion can be a sign of a concussion or other injury resulting from a fall, which is a common risk for individuals with Parkinson's disease.
B. Reviewing the client's current food and medication allergies is important as allergies can contribute to confusion if the client is exposed to an allergen.
C. Encouraging increased intake of high protein foods is generally recommended for individuals with Parkinson's disease, but it is not directly related to the acute onset of confusion.
D. Checking the mother's temperature is a direct action to assess for infection, which can be a cause of acute confusion, especially in older adults.
E. Pain with urination could indicate a urinary tract infection, which is another common cause of confusion in the elderly. It is important to assess for this possibility.
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Related Questions
Correct Answer is B
Explanation
A. Assigning the UAP to another client does not address the need for proper infection control measures when assisting the client with influenza.
B. Wearing a face mask is essential to prevent the transmission of respiratory droplets during close contact with the client with influenza. Reviewing the importance of wearing a face mask reinforces infection control practices.
C. Applying a fitted respirator mask may not be necessary for routine care of a client with influenza and may not be readily available for UAP use.
D. While important, monitoring the client's respiratory status does not directly address the need for infection control measures to prevent the spread of influenza.
Correct Answer is D
Explanation
A. Explaining that the dosage has been changed is not appropriate without confirming the accuracy of the prescription.
B. Telling him to take the medication and verifying the dosage later could result in harm if the dosage is incorrect.
C. Informing him that he may refuse the medication is an option, but it does not address the potential error in dosage.
D. Withholding the medication until the dosage can be confirmed is the safest action to prevent potential medication errors
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