A nurse is working a night shift and caring for several clients at risk for falls. Which of the following actions should the nurse take? (Select all that apply.)

Instruct the clients to use the call light.

Move overbed tables away from the bed.

Place a fall risk wristband on each of the clients.

Perform client checks every 4 hr.

Keep the clients' rooms dark.

Answer and Explanation

Correct Answer : A,B,C,D

A. Instruct the clients to use the call light.

Encouraging clients to use the call light enables them to request assistance when needed, reducing the risk of falls if they need help to move or get out of bed.

B. Move overbed tables away from the bed.

Clearing the area around the bed, including overbed tables, reduces obstacles and potential hazards that clients might trip over or get tangled in.

C. Place a fall risk wristband on each of the clients.

Identifying clients at risk for falls by using wristbands helps alert all healthcare staff to take necessary precautions and provide appropriate assistance to prevent falls.

D. Perform client checks every 4 hr.

Regular client checks allow the nurse to monitor their condition, reposition them if necessary, assist with toileting needs, and ensure they're safe, especially during the night when falls might be more likely.

E. Keep the clients' rooms dark.

Keeping the room dimly lit during the night can help clients sleep better but should still provide enough light for safe movement. Complete darkness might increase the risk of falls if clients need to move around.

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Correct Answer is B

Explanation

A. Palliative care focuses on providing comfort and relief from symptoms for individuals with serious illnesses, often those with life-limiting conditions. Respite care is not specifically designed for palliative care but can complement it by offering temporary relief to caregivers.

B. Respite care is a form of temporary care that allows caregivers a break or time off from their responsibilities. It is intended to provide short-term relief and support for family members or caregivers who are taking care of individuals with chronic illnesses, disabilities, or age-related conditions.

C. Restorative care involves interventions and services aimed at improving an individual's functional abilities and promoting independence. Respite care is not primarily focused on restorative care but rather on giving caregivers a temporary break.

D. Pain management is a specialized area of care that focuses on assessing and treating pain. Respite care, while it may involve managing symptoms during the temporary care period, is not specifically designed for pain management.

A. Improved speech patterns B. Decreased tremors C. Increased bladder function D. Diminished drooling

Correct Answer is B

Explanation

A. Improved speech patterns:

While selegiline may contribute to overall improvement in motor function and quality of life for individuals with Parkinson's disease, it is not specifically known for targeting speech patterns.

B. Decreased tremors:

This is the correct therapeutic outcome. Selegiline is a monoamine oxidase type B (MAO-B) inhibitor that helps increase dopamine levels in the brain. Reduction of tremors is a common therapeutic effect in Parkinson's disease.

C. Increased bladder function:

Selegiline primarily affects motor symptoms in Parkinson's disease and is not directly associated with changes in bladder function.

D. Diminished drooling:

While drooling can be a symptom of Parkinson's disease, selegiline's primary focus is on motor symptoms, and its impact on drooling may be variable. Other interventions may be considered for managing drooling in Parkinson's disease.

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A nurse is working a night shift and caring for several clients at risk for falls. Which of the following actions should the nurse take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing respite care with the caregiver of an older adult client. When the caregiver asks about the purpose of a respite care program, the nurse should reply that it provides which of the following services?

Correct Answer is B

Explanation

A nurse is caring for a client who has Parkinson's disease and is taking selegiline 5 mg by mouth twice daily. Which of the following therapeutic outcomes should the nurse monitor for with a client who is taking this medication?

Correct Answer is B

Explanation

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