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. Applying a lubricating lotion to cracked areas is appropriate for clients with peripheral arterial disease (PAD). This helps to prevent further skin breakdown and maintain skin integrity, which is crucial since clients with PAD have poor circulation and are at risk for ulcers and infections.

B. Resting with feet elevated is not recommended for clients with PAD. Elevating the feet can further reduce blood flow to the lower extremities. Instead, the client should avoid elevating the legs and should consider positioning the feet at heart level or in a dependent position to promote circulation.

C. Soaking feet in hot water is not recommended for clients with PAD because they may have reduced sensation and are at risk for burns. Additionally, hot water can exacerbate circulation problems and increase the risk of injury.

D. Using a heating pad is not recommended for clients with PAD because they may have impaired sensation in their feet. The heating pad could cause burns or other injuries due to the lack of feeling in the affected areas.

A. Blood glucose level B. Bowel sounds C. Blood pressure D. Pain level E. Electrocardiogram findings F. Lung sounds G. Troponin T level

Correct Answer is ["C","D","E","G"]

Explanation

A. Blood glucose level: The blood glucose level is within the normal range (103 mg/dL), so there is no immediate concern for hypoglycemia or hyperglycemia at this moment. While the client has diabetes, this finding does not require immediate follow-up.

B. Bowel sounds: Bowel sounds are present in all 4 quadrants, indicating normal gastrointestinal function. There is no indication of gastrointestinal distress, so this does not require immediate follow-up.

C. Blood pressure: The blood pressure is not provided in the scenario, but if it were hypotensive or elevated, it would be important to follow up. Hypotension could indicate a lack of perfusion, and hypertension could indicate worsening cardiac stress. Blood pressure should be monitored closely in this client, especially with suspected cardiac issues.

D. Pain level: The client reports chest pain radiating to the left arm, which is a classic symptom of myocardial infarction (MI). Immediate follow-up is needed to address pain management and investigate the cause of the pain. This could be a sign of acute coronary syndrome, requiring urgent intervention.

E. Electrocardiogram findings: The electrocardiogram (ECG) shows tachycardia with ST segment elevation and T wave changes, which are indicative of a myocardial infarction (MI). These findings require immediate follow-up and urgent medical intervention to assess and treat the possible heart attack.

F. Lung sounds: The lung sounds are clear in all lobes, indicating no respiratory distress or issues with lung function. This does not require immediate follow-up.

G. Troponin T level: The troponin T level is elevated at 0.40 ng/mL (normal is less than 0.1 ng/mL), which is a key marker for myocardial injury. This finding requires immediate follow-up to assess the severity of the cardiac event and initiate treatment for potential myocardial infarction.

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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 is providing instructions about foot care for a client who has peripheral arterial disease. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Exhibits The nurse is reviewing the client's medical record. Select the four findings that require immediate follow-up.

Correct Answer is ["C","D","E","G"]

Explanation

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