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 C

Explanation

A. Applying medicated powder under the vest is not recommended as it can interfere with the fit of the device, cause skin irritation, or affect the traction. The nurse should avoid using powders or lotions in the area.

B. The nurse should not loosen or tighten the screws on the halo traction device, as this requires a healthcare provider with the appropriate expertise to adjust it. Any adjustments should be made by the physician or specialist.

C. Ensuring that there is space for one finger between the vest and the client's skin is important for preventing skin breakdown and ensuring proper fit of the device. The vest should be snug but not tight enough to cause discomfort or pressure.

D. The nurse should not move the client by holding onto the halo traction device, as this can cause injury or disrupt the device's alignment. Instead, the nurse should use proper techniques and support to move the client safely.

A. "Contact your pharmacy to inquire about a different medication." B. "I can contact the occupational therapist to schedule a home visit." C. "I can arrange for a social worker to talk with you before you leave." D. "You should ask your provider to prescribe a cheaper medication."

Correct Answer is C

Explanation

A. While the pharmacy may be able to provide information on generic alternatives, the nurse should not direct the client to contact the pharmacy for a different medication. The provider is the one who can assess and prescribe alternative medications if necessary.

B. The occupational therapist may not be the appropriate professional to address financial concerns related to medication costs. A social worker is more likely to have the resources and knowledge to assist with these concerns.

C. Arranging for a social worker to assist the client with financial concerns related to medication is the most appropriate action. Social workers can connect clients with resources such as financial assistance programs, insurance options, or discount programs.

D. While the provider may be able to prescribe a cheaper medication, the nurse should not suggest this as the first course of action. A social worker is better suited to help explore the financial situation and provide resources.

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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?

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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?