A nurse is caring for an older adult client who states, "I am afraid that I may fall while walking to the bathroom during the night." Which of the following actions should the nurse take?
Limit the client's fluid intake in the evening
Put the side rails up and tell the client to call the nurse before voiding
Obtain a bedside commode for the client's use
Leave a nightlight on in the client's room
The Correct Answer is C
Choice A reason: Limiting fluid intake in the evening may reduce the need to urinate at night but does not address the client's fear of falling. It is more important to provide a safer alternative for nighttime voiding.
Choice B reason: Putting the side rails up and instructing the client to call the nurse before voiding may help, but it does not provide the most immediate and practical solution. A bedside commode offers a safer and more accessible option.
Choice C reason: Obtaining a bedside commode for the client's use directly addresses the client's concern about falling. It allows the client to void safely without having to walk to the bathroom at night, reducing the risk of falls.
Choice D reason: Leaving a nightlight on in the room can help improve visibility but does not completely eliminate the risk of falling. A bedside commode is a more effective solution.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Pyridostigmine is a medication used to treat myasthenia gravis by inhibiting acetylcholinesterase, but it is not used as an antidote for edrophonium overdose. Pyridostigmine helps improve muscle strength by increasing the amount of acetylcholine available at the neuromuscular junction.
Choice B reason: Flumazenil is an antidote for benzodiazepine overdose and has no effect on edrophonium. It works by competitively inhibiting the actions of benzodiazepines on the GABA receptor.
Choice C reason: Acetylcholine itself is not used as an antidote for edrophonium overdose. Administering acetylcholine would not counteract the effects of excessive acetylcholinesterase inhibition caused by edrophonium.
Choice D reason: Atropine is the correct antidote for edrophonium overdose. Atropine is an anticholinergic drug that can counteract the excessive accumulation of acetylcholine caused by edrophonium, thereby alleviating symptoms such as bradycardia and muscle weakness.
Correct Answer is A
Explanation
Choice A reason: Verapamil is a calcium channel blocker used to manage rapid atrial fibrillation. It works by slowing down the conduction of electrical impulses in the heart, helping to control the heart rate.
Choice B reason: Adenosine is used to treat supraventricular tachycardia (SVT) but is not typically used for atrial fibrillation.
Choice C reason: Nitroglycerin is used to relieve chest pain (angina) by dilating the blood vessels but is not used to treat atrial fibrillation.
Choice D reason: Atropine is used to treat bradycardia (slow heart rate) and is not used for atrial fibrillation.
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