An older adult client of a long-term care facility is awake at 0330 and wandering down the hall in unbuttoned pajamas. Which intervention should the practical nurse (PN) implement?

Bring the client to sit in the nursing station.

Administer a nighttime sedative.

Direct the client to go back to bed.

Engage the client to determine current needs.

Answer and Explanation

The Correct Answer is D

A. Bringing the client to sit at the nursing station may not address the underlying cause of the wandering behavior and could be less effective in meeting the client’s immediate needs.
B. Administering a nighttime sedative is not a suitable solution for wandering behavior, as it may lead to adverse effects and does not address the root cause of the behavior.
C. Directing the client to go back to bed may not be effective, especially if the client is disoriented or confused. The approach should involve understanding and addressing the client's needs.
D. Engaging the client to determine current needs is the best approach, as it helps to understand the cause of the wandering and address it appropriately, such as providing comfort, reassurance, or addressing a specific need.

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Correct Answer is A

Explanation

A. Follow-up urine tests are essential to ensure that the UTI is fully resolved and to check for any potential recurrence or complications.
B. The full course of antibiotics must be completed even if symptoms improve. Refiling antibiotics should only be done based on a healthcare provider's recommendation, not symptom persistence.
C. For females, the correct wiping technique is from front to back to avoid introducing bacteria from the anus to the urethra, so this statement is incorrect.
D. Antibiotics should be taken for the entire prescribed duration to completely eradicate the infection, not just until symptoms improve.

A. A preschooler who had an emergency appendectomy for appendicitis. B. An adult with osteomyelitis who had a necrotic bone fragment removed in the foot. C. A post-menopausal client with breast cancer who had a right breast lumpectomy. D. An adolescent with type 1 diabetes (DM) who had an open cholecystectomy.

Correct Answer is A

Explanation

A. A preschooler who had an emergency appendectomy should be checked first. Children are at higher risk for complications due to their size and the stress of emergency surgery, so close monitoring is essential.
B. An adult with osteomyelitis post-surgery is important to monitor but is generally at lower immediate risk compared to a young child following emergency surgery.
C. A post-menopausal client with breast cancer who had a lumpectomy is also a priority, but the immediate postoperative period for a child in emergency surgery takes precedence.
D. An adolescent with type 1 diabetes who had cholecystectomy requires careful monitoring, but the child’s higher risk in the immediate postoperative phase makes them the priority.

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An older adult client of a long-term care facility is awake at 0330 and wandering down the hall in unbuttoned pajamas. Which intervention should the practical nurse (PN) implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

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