A nurse is teaching a family how to manage the at-home care of a client who has dementia. Which of the following instructions should the nurse Include?

Place locks at the top of doors.

Provide clothing that has zippers instead of buttons.

Discourage group activities.

Keep the client's bedroom dark at night.

Answer and Explanation

The Correct Answer is A

A. Place locks at the top of doors: Installing locks high on doors helps prevent wandering, a common safety risk in clients with dementia. These locks are harder for the client to notice or reach, reducing the likelihood of unsupervised exits.

B. Provide clothing that has zippers instead of buttons: While zippers may seem easier, they can actually pose challenges for clients with cognitive or motor impairments. Velcro closures are typically safer and more manageable for both clients and caregivers.

C. Discourage group activities: Group activities can provide valuable social interaction, cognitive stimulation, and emotional support. Discouraging them may increase isolation and contribute to a decline in function or mood.

D. Keep the client's bedroom dark at night: A completely dark room can increase disorientation and agitation in clients with dementia. A soft nightlight is preferable to reduce confusion and promote safety during nighttime waking or wandering.

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Correct Answer is B

Explanation

A. Strain the client's urine: Straining urine is not necessary with low-dose rate brachytherapy for prostate cancer. The radioactive seeds are typically implanted permanently and remain in place; they are not expected to be excreted in the urine.

B. Instruct visitors to stay 1 m (3.3 feet) away from the client: Maintaining a safe distance reduces radiation exposure to others. Visitors, especially pregnant individuals and children, should remain at least 1 meter away to limit exposure while the implant is active.

C. Attach a dosimeter to the client's gown: The dosimeter is worn by staff members, not by the client. It measures cumulative radiation exposure to healthcare workers, ensuring safety guidelines are followed during patient care.

D. Limit each of the client's visitors to 2 hr per day: For low-dose permanent brachytherapy, the radiation levels are generally low, and strict time limits for visitors are usually unnecessary if distance and precautions are observed. Limiting time may apply more to high-dose temporary implants.

A. Scaly plaques on skin B. Pearly papules with a central crater C. Weeping skin surfaces D. Irregularly shaped, pigmented papules

Correct Answer is C

Explanation

A. Scaly plaques on skin: Scaly plaques are more characteristic of chronic conditions like psoriasis, not Stevens-Johnson syndrome. SJS is an acute, severe mucocutaneous reaction involving widespread epidermal necrosis, not thick, scaly lesions.

B. Pearly papules with a central crater: This describes basal cell carcinoma, a form of skin cancer. It is not consistent with the acute, inflammatory, and blistering nature of Stevens-Johnson syndrome, which typically involves mucous membranes and skin detachment.

C. Weeping skin surfaces: Stevens-Johnson syndrome leads to widespread skin blistering, sloughing, and erosion, often resulting in moist, weeping lesions. This breakdown of the epidermis resembles a severe burn and is a hallmark of the condition.

D. Irregularly shaped, pigmented papules: These are often associated with melanoma or other pigmented skin disorders. They do not match the blistering, painful rash and mucosal involvement seen in SJS.

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A nurse is teaching a family how to manage the at-home care of a client who has dementia. Which of the following instructions should the nurse Include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is undergoing brachytherapy with a low-dose radiation implant for treatment of prostate cancer. Which of the following interventions should the nurse include in the client's plan of care?

Correct Answer is B

Explanation

A nurse is assessing a client who has developed Stevens-Johnson syndrome. Which of the following manifestations should the nurse expect?

Correct Answer is C

Explanation

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