A nurse is caring for a patient with Alzheimer's Disease who falls frequently. Which of the following actions should the nurse take first to keep the patient safe?
Encourage the patient to ask for assistance.
Keep the call light near the patient.
Place the patient in a room close to the nurses' station.
Remind the patient to walk with someone for support.
The Correct Answer is C
A. Encourage the patient to ask for assistance. – Patients with Alzheimer's often forget to ask for help, making this an unreliable safety measure.
B. Keep the call light near the patient. – The patient may not remember to use the call light.
C. Place the patient in a room close to the nurses' station. – Correct Answer. This allows frequent observation and quick intervention to prevent falls.
D. Remind the patient to walk with someone for support. – Reminders may not be effective due to memory impairment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. The GCS assesses level of consciousness based on eye-opening, verbal response, and motor response.
B. Incorrect. Reflex activity is assessed separately using neurological reflex tests.
C. Incorrect. Sensory involvement is evaluated through different neurological exams, not the GCS.
D. Incorrect. Cognitive ability assessment requires specialized tests, such as the Mini-Mental State Examination (MMSE).
Correct Answer is D
Explanation
A. Rowing. – Incorrect. Rowing can strain the lower back.
B. Tennis. – Incorrect. Twisting motions in tennis can exacerbate back pain.
C. Canoeing. – Incorrect. Similar to rowing, canoeing may strain the lower back.
D. Swimming. – Correct Answer. Water-based exercises provide low-impact movement and reduce strain on the spine, making swimming the best choice.
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