The RN overbears the nurses' aide speaking in a harsh tone to a client with early Alzheimer's memory loss. Which statement should the EN make to begin addressing this issue?

“Do you think it would be a good idea to have an in-service on dealing with Alzheimer's patients?”

“You must remember to watch your tone of voice with clients. Someone might overhear."

“I have decided to reassign that client to another aide."

“I am concerned about your conversation with the client. It sounded short and impatient”

Answer and Explanation

The Correct Answer is D

A.   While suggesting an in-service could be beneficial in the long run, it is not an immediate or direct approach to addressing the specific behavior observed. This statement deflects from the issue at hand and may not convey the urgency needed in correcting the aide's behavior.
B.   This statement is somewhat vague and could come across as patronizing or defensive. While it points out the need to be mindful of tone, it does not specifically address the emotional impact of the aide’s behavior on the client or acknowledge the situation effectively. It focuses on appearance rather than the well-being of the patient.
C.   This approach does not address the underlying issue of the aide's behavior and may create a confrontational or punitive atmosphere. It can also foster resentment rather than promote learning and improvement. It's essential to address behaviors directly instead of merely reassigning responsibilities.
D.   This statement is direct and addresses the specific behavior observed. It expresses concern without being accusatory and opens a dialogue about the aide’s communication style. This approach encourages reflection and offers the aide an opportunity to discuss and understand how their tone may affect clients, especially those with cognitive impairments like Alzheimer's.

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Correct Answer is ["A","D","E"]

Explanation

A. Frequent handwashing is an important health promotion strategy for individuals with sickle cell disease. They are at increased risk for infections due to potential splenic dysfunction. Good hand hygiene helps reduce the risk of infections, which can trigger a sickle cell crisis.
B. Clients with sickle cell disease are strongly encouraged to receive the annual flu vaccine. Influenza can lead to serious complications in these patients, including increased risk of respiratory infections and sickle cell crises. Vaccination is a key preventive measure.
C. Routine iron supplementation is not typically recommended for individuals with sickle cell disease unless there is a specific diagnosis of iron deficiency anemia. Sickle cell patients can have normal or elevated ferritin levels, and unnecessary iron supplementation can lead to iron overload, which is harmful.
D. Regular eye examinations are important for individuals with sickle cell disease, as they are at risk for ocular complications, including retinopathy. Annual visits help monitor eye health and prevent vision problems.
E. Joining a support group can be beneficial for individuals with sickle cell disease. It provides emotional support, education, and a sense of community. Sharing experiences with others who understand the challenges of living with the disease can enhance coping strategies and overall well-being.

A. Protamine B. Naloxone C. Neostigmine D. Flumazenil

Correct Answer is B

Explanation

A. Protamine is an antidote for heparin and is used to reverse anticoagulation effects. It is not relevant in the context of administering morphine, which is an opioid analgesic.
B. Naloxone is an opioid antagonist that is specifically used to reverse the effects of opioid overdose, including respiratory depression caused by morphine. Having naloxone available is a critical safety measure when administering opioids, as it can quickly counteract the effects if the patient experiences severe sedation or respiratory distress.
C. Neostigmine is a medication used to treat myasthenia gravis and to reverse the effects of non- depolarizing neuromuscular blockers. It is not related to the administration of morphine and does not serve as a reversal agent for opioid effects.
D. Flumazenil is a benzodiazepine antagonist used to reverse the effects of benzodiazepine sedation. It is not used for opioid reversal and would not be applicable in the context of morphine administration.

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The RN overbears the nurses' aide speaking in a harsh tone to a client with early Alzheimer's memory loss. Which statement should the EN make to begin addressing this issue?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who had a sickle cell crisis. Which of the following health promotion strategies should the nurse include in the teaching?(Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

A nurse is preparing to administer morphine IV to a client. Which of the following medications should the nurse plan to have available?

Correct Answer is B

Explanation

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