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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Assess the client for hypoglycemia: The client is receiving dextrose-containing fluids, which help maintain blood glucose levels. Hypoglycemia is not likely the cause of decreased urine output in this context and is not the priority assessment.
B. Administer a bolus of the IV fluid: Providing a fluid bolus without first assessing fluid status may lead to fluid overload, especially if the client is already retaining fluids. This action should only follow appropriate clinical assessment.
C. Assess the client's lung sounds: Decreased urine output may signal fluid retention or early fluid overload. Assessing lung sounds is critical to detect crackles or other signs of pulmonary congestion, which can indicate complications from IV fluid administration.
D. Administer furosemide 10 mg PO: Administering a diuretic without evaluating the client's fluid balance and lung sounds can be unsafe. This decision requires a provider's orderand should follow a thorough assessment of the client’s volume status.
Correct Answer is C
Explanation
A. 1 cup of strawberries: While strawberries provide some dietary fiber and vitamins, they are not as fiber-dense per serving compared to whole grains or legumes. One cup contains about 3 grams of fiber.
B. 1 stalk of celery: Celery has minimal fiber content—about 1 gram per stalk—and is mostly water. It can be part of a high-fiber diet but is not the best source among the options listed.
C. 1 cup of oatmeal: Oatmeal is an excellent source of soluble fiber, particularly beta-glucan, which helps improve bowel regularity and reduce cholesterol. One cup contains around 4–5 grams of fiber, making it the highest in this list.
D. 1 oz of peanuts: Peanuts contain some fiber (around 2–3 grams per ounce) and protein, but their fat content is high, and they are not primarily used as a fiber-rich food source. They are less beneficial for increasing bulk in stool compared to oatmeal.
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