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A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's disease.
The caregiver reports that the client awakens at night and wanders.
Which of the following strategies should the nurse suggest?

Place a lock at the top of doors leading outside.

Use light restraints while the client is in bed.

Administer an antianxiety medication before bedtime.

Encourage the client to nap during the day.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Placing a lock at the top of doors helps prevent the client from wandering outside, ensuring safety.

Choice B rationale

Using light restraints is not recommended due to ethical concerns and potential harm.

Choice C rationale

Administering antianxiety medication should not be the first strategy due to potential side effects and over-medication.

Choice D rationale

Encouraging napping during the day may worsen nighttime wakefulness and wandering.

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Correct Answer is A

Explanation

Choice A rationale

Diarrhea is a common symptom of opioid withdrawal due to increased gastrointestinal motility.

Choice B rationale

Hypokinesis, or decreased movement, is not associated with opioid withdrawal. Withdrawal symptoms include restlessness and agitation.

Choice C rationale

Bradycardia, or slow heart rate, is not a typical manifestation of opioid withdrawal. Tachycardia (increased heart rate) is more common.

Choice D rationale

Meiosis, or pupil constriction, occurs with opioid use. During withdrawal, mydriasis (dilated pupils) is more common.

A. Assist with a client referral for social services. B. Identify if the client has thoughts of self-harm. C. Reinforce teaching on the client's use of coping skills. D. Encourage the client to use personal support systems.

Correct Answer is B

Explanation

Choice A rationale

Referring the client for social services support is important but not the first action in addressing immediate safety.

Choice B rationale

Identifying thoughts of self-harm is crucial for immediate safety and risk management, making it the priority action.

Choice C rationale

Reinforcing coping skills is valuable but secondary to ensuring the client's safety.

Choice D rationale

Encouraging use of personal support systems is helpful but not the first priority in addressing immediate risk. .

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A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's disease.The caregiver reports that the client awakens at night and wanders.Which of the following strategies should the nurse suggest?

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A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's disease.
The caregiver reports that the client awakens at night and wanders.
Which of the following strategies should the nurse suggest?