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A confused elderly patient in a long-term care facility attempts to wander at night. Which intervention is most appropriate?
Select one:

Apply physical restraints at bedtime

Restrict fluids after dinner

Administer a sedative before sleep

Use a bed alarm and place the patient near the nurse station

Answer and Explanation

The Correct Answer is D

A. Restraints should be avoided whenever possible due to risks of injury, increased agitation, and ethical concerns.

B. Limiting fluids may lead to dehydration and does not address the wandering behavior directly.

C. Sedatives can increase confusion and fall risk in elderly patients and should be used cautiously.

D. This is a safe, least restrictive way to monitor and respond promptly to wandering behavior, ensuring patient safety while preserving dignity.

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Free Nursing Study Resources

Correct Answer is ["21"]

Explanation

To calculate the drops per minute:
Drops per minute = (Total volume × Drop factor) ÷ Time in minutes
= (1000 mL × 10 gtt/mL) ÷ (8 × 60 minutes)
= 10,000 ÷ 480
≈ 20.83 → 21 gtt/min when rounded to the nearest whole number.

Answer: 21 gtt/min

A. Offer fruit such as prunes or apricots. B. Increase oral fluid intake. C. Request an order for an enema. D. Report the condition to the charge nurse.

Correct Answer is A

Explanation

A. Prunes and apricots are natural laxatives rich in fiber and sorbitol, which help stimulate bowel movements. This is a safe, non-invasive first-line intervention for opioid-induced constipation.

B. While increasing fluids is helpful for constipation, it is often not sufficient alone when opioids cause decreased gut motility.

C. Enemas are more invasive and should be reserved for when conservative measures (dietary changes, fluids, stool softeners) fail.

D. While reporting is important if constipation worsens or is severe, initial interventions can be implemented by the nurse first.

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A confused elderly patient in a long-term care facility attempts to wander at night. Which intervention is most appropriate? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

1000 ml of lactated ringers over 8 hours the drip factor is 10 gtt/min. How many drops per minute.

Correct Answer is ["21"]

Explanation

The patient on frequent doses of oxycodone (Roxicodone) complains of constipation. Which initial intervention is best?

Correct Answer is A

Explanation

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A confused elderly patient in a long-term care facility attempts to wander at night. Which intervention is most appropriate?
Select one: