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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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Battery involves actual physical contact or harm, not just a threat.

B. Negligence refers to failing to provide appropriate care, not intentional threats.

C. Assault is a threat of harm that causes fear in the client, even without physical contact.

D. Malpractice refers to professional negligence, not intentional threats or coercion.

A. Ensure that the transfusion is completed within 6 hr. B. Obtain venous access using a 22-gauge needle. C. Store the unit of blood at room temperature for 1 hr prior to the infusion. D. Use a solution of 0.9% sodium chloride to flush the transfusion tubing.

Correct Answer is D

Explanation

A. Ensure that the transfusion is completed within 6 hr: Incorrect. Blood transfusions should be completed within 4 hours to reduce the risk of bacterial contamination.

B. Obtain venous access using a 22-gauge needle: Incorrect. A larger gauge (18-20) is preferred to prevent hemolysis and allow for faster administration.

C. Store the unit of blood at room temperature for 1 hr prior to the infusion: Incorrect. Blood should remain refrigerated until it is ready to be transfused, and it should be started within 30 minutes of removal from refrigeration.

D. Use a solution of 0.9% sodium chloride to flush the transfusion tubing: 0.9% sodium chloride is the only compatible solution with blood products to prevent hemolysis.

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System	Findings
General	Adult child accompanying parent reports decline in client, expressing concern over memory and thought process, appetite, and self-care. Adult child states, "My sibling and I hired help at home for my parent. We thought that would help but it has not.. I found the title to the car today, signed over to me.
Physical	Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression. Client reports sleeping 7 hr a night and getting up "once or twice per night to go to the bathroom. Client reports not wanting to eat anymore. Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 lb in the past month. Heart rate 68/min
Affect	Client says, "Why don't you just leave me? I am of no use."

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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is planning care for a client who is scheduled to receive a transfusion of packed RBCs. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

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