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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A 25-gauge saline lock is too small for administering fresh frozen plasma. Plasma should be transfused through a larger gauge catheter (typically 18 or 20 gauge) to ensure proper flow and minimize complications.
B. Fresh frozen plasma should be administered as soon as possible after thawing, typically within 30 minutes to 1 hour, to maintain its efficacy and avoid bacterial growth.
C. Fresh frozen plasma should not be transfused over 4 hours. It is usually given within 1 to 2 hours to minimize the risk of bacterial contamination and ensure proper clotting factor effectiveness.
D. Holding the transfusion if the client is actively bleeding is not appropriate. In fact, fresh frozen plasma is often administered to clients who are actively bleeding or who have clotting disorders to replace deficient clotting factors.
Correct Answer is A
Explanation
A. Keep soiled bed linens in the client's room: This is correct. During internal radiation (brachytherapy), items in contact with the client, including soiled linens, must remain in the room until radiation treatment is complete to prevent accidental radiation exposure to staff or other clients. Radiation safety protocols require limiting the spread of potentially contaminated materials.
B. Discard the radioactive device in the client's trash can: This is unsafe and violates strict radiation safety procedures. A dislodged device must be handled only with forceps and stored in a lead container until properly managed by radiation safety personnel.
C. Instruct visitors to remain 3 feet from the client: While distance is important, visitors should actually maintain at least 6 feet from the client and visits should be kept short, typically under 30 minutes.
D. Limit time for visitors to 2 hr per day: This exceeds the standard safety limit. The time spent by visitors in the room should be minimized—generally limited to 30 minutes or less per day—to reduce exposure to radiation.
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