A nurse is providing teaching about home care to the family of a client who has dementia. Which of the following statements should the nurse make?

"Disguise exit doors in his home with posters."

"Weigh the client once per month."

"Keep the lights in his room off at night."

"Offer him several food choices prior to meal times."

Answer and Explanation

The Correct Answer is A

Choice A rationale:

People with dementia may become disoriented and attempt to leave their homes. Disguising exit doors with posters or camouflage can help prevent wandering and promote safety.

Choice B rationale:

Weighing the client once per month is not directly related to dementia care and safety.

Choice C rationale:

Keeping lights on at night can help prevent falls and confusion in people with dementia.

Choice D rationale:

Offering several food choices prior to meal times can be overwhelming for a person with dementia. A simpler approach may be more appropriate.

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Correct Answer is B

Explanation

Choice A rationale:

Waiting until school age to engage in social activities is not appropriate, as social interaction is important for a toddler's development.

Choice B rationale:

Interacting with the child according to their developmental age is important for fostering appropriate growth and development.

Choice C rationale:

Devoting more time to learning than playing may not be appropriate, as play is an essential component of early childhood development.

Choice D rationale:

Teaching several steps of a task at one time may be overwhelming for a toddler with a cognitive delay. Instructions should be simple and broken down into manageable steps.

A. Ensure padded wrist restraints are in the client's room. B. Initiate IV access for the client. C. Administer lorazepam every 4 hr to sedate the client. D. Place an incontinence brief on the client

Correct Answer is B

Explanation

Choice A rationale:

Padded wrist restraints are not appropriate unless there's a clear clinical indication to prevent self-harm or injury.

Choice B rationale:

After a seizure, it's important to establish IV access for the client to administer medications, fluids, or other interventions if needed. Monitoring for possible postictal state, airway patency, and vital signs are also important components of care.

Choice C rationale:

Administering lorazepam every 4 hours is not a standard protocol for post-seizure management and could lead to excessive sedation.

Choice D rationale:

Placing an incontinence brief is not necessary unless there's a specific indication, and it doesn't directly relate to post-seizure care.

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A nurse is providing teaching about home care to the family of a client who has dementia. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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