A nurse is caring for a client who has moderate Alzheimer's disease. During weekly home visits, the nurse notices that the client's caregiver is tired, irritable, and impatient with the client. Which of the following actions should the nurse recommend to the caregiver?

Consider respite care services.

Contact hospice services for end-of-life care.

Pursue local protective services.

Take a nonprescription sleeping medication.

Answer and Explanation

The Correct Answer is A

A. Respite care services provide temporary relief for caregivers, allowing them to take breaks and avoid burnout. This recommendation addresses the caregiver's fatigue and stress, helping to prevent caregiver exhaustion and improve their well-being.

B. Hospice services are appropriate for end-of-life care, but the client with moderate Alzheimer's disease is not at the end of life, so this is not the most appropriate recommendation at this stage.

C. Pursuing local protective services is necessary if there is evidence of abuse or neglect. However, the issue here seems to be caregiver stress, not abuse, so this action is not warranted.

D. Taking a nonprescription sleeping medication might address some symptoms of fatigue but does not address the underlying issue of caregiver burnout. Respite care is a more effective solution for the caregiver's needs.

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Correct Answer is A

Explanation

A. The first priority during a tonic-clonic seizure is to ensure the client's airway is clear and to prevent aspiration or injury. Turning the client on their side helps to keep the airway open and allows any secretions to drain from the mouth, reducing the risk of aspiration.

B. Performing a neurologic check is important after the seizure has ended, but the immediate action is to protect the client during the seizure.

C. Notifying the rapid response team is important if the seizure is prolonged or if the client is unresponsive to interventions, but the priority is to ensure safety during the seizure.

D. Obtaining vital signs can be done after the seizure ends, but the immediate priority is ensuring the client's safety and airway.

A. Colonics B. Guided imagery C. Acupuncture D. Saw palmetto

Correct Answer is A

Explanation

A. Colonics (or colon cleansing) can be contraindicated for clients with diverticulitis. The procedure may cause irritation or perforation of the colon, which can worsen the condition. The nurse should advise against this therapy for clients with diverticulitis.

B. Guided imagery is a non-invasive relaxation technique that can help manage stress and discomfort. It is generally safe for clients with diverticulitis and can be beneficial in reducing pain or anxiety.

C. Acupuncture is a form of complementary therapy that involves inserting thin needles into specific body points. It may help alleviate pain and symptoms of various conditions, including diverticulitis, and is typically safe when performed by a trained practitioner.

D. Saw palmetto is an herbal remedy used for prostate issues, and while it may have some mild side effects, it is generally not contraindicated for diverticulitis. However, the nurse should assess for any other potential interactions or contraindications based on the client's overall health.

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A nurse is caring for a client who has moderate Alzheimer's disease. During weekly home visits, the nurse notices that the client's caregiver is tired, irritable, and impatient with the client. Which of the following actions should the nurse recommend to the caregiver?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse enters a client's room and observes the client having a tonic-clonic seizure. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is assessing a client who has a new diagnosis of diverticulitis and reports that he uses multiple complementary and alternative healing therapies. Which of the following complementary therapies should the nurse identify as contraindicated for the client?

Correct Answer is A

Explanation

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