A nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver states, "Providing constant care is very stressful and is affecting all areas of my life." Which of the following actions should the nurse take?
Discuss methods of how to communicate with the client about resolving problem behaviors.
Suggest that the caregiver seek a prescription for an antipsychotic medication for the client.
Assist the caregiver to arrange for a daycare program for the client.
Recommend allowing the client to have time alone in their room throughout the day.
The Correct Answer is C
A. Communication strategies may help but won’t directly reduce caregiver stress.
B. Antipsychotic medication is not a first-line solution and should be prescribed only for specific symptoms.
C. Arranging a daycare program provides respite for the caregiver and promotes social interaction for the client.
D. Allowing the client to be alone may increase anxiety and is unsafe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
Potential Condition: Kawasaki Disease
Kawasaki disease is a systemic vasculitis that primarily affects children under the age of 5 but can occur in older children. It presents with prolonged fever (lasting more than 5 days), conjunctival injection (red eyes without exudate), mucosal inflammation (strawberry tongue, red lips), maculopapular rash, and extremity changes (edema and peeling skin on hands and feet). Elevated inflammatory markers (C-reactive protein and erythrocyte sedimentation rate), high WBC count, and thrombocytosis (elevated platelets) are consistent with Kawasaki disease. If untreated, it can lead to coronary artery aneurysms.
Actions to Take:
Plan to administer high dose of aspirin:
High-dose aspirin is given to reduce inflammation and prevent thrombosis in coronary arteries, as Kawasaki disease increases the risk of coronary artery aneurysms.
Assess for neurological changes:
Neurological changes, such as irritability, can indicate aseptic meningitis or other central nervous system involvement, which can occur in Kawasaki disease.
Parameters to Monitor:
Daily weights:
Monitoring daily weights is essential to assess for fluid retention or overload, as Kawasaki disease can cause myocarditis and cardiac dysfunction.
Reports of chest pain or pressure:
Monitoring for chest pain or pressure is crucial to detect early signs of myocardial ischemia or coronary artery involvement, which are potential complications of Kawasaki disease.
Correct Answer is C
Explanation
A. There is no need to replace the catheter unless it is obstructed or malfunctioning.
B. Credé’s maneuver is used for bladder emptying, not for continuous bladder irrigation.
C. Pink-tinged urine is expected in the first 24 hours after a transurethral resection of the prostate (TURP). The nurse should maintain the irrigation rate to prevent clot formation.
D. Warming the irrigation solution is not indicated.
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