An older patient is diagnosed with RLS/WEB. Which of the following nonpharmacological interventions should the nurse include in the plan of care? (Select all that apply.)
Relaxation techniques may be helpful
A mild sleeping medication such as diphenhydramine might be helpful
Engage in regular mild to moderate physical activity including stretching activities for the lower extremities
Avoid caffeine, alcohol, and tobacco
Avoid hot baths
Correct Answer : A,C,D
A. Relaxation techniques can help reduce symptoms and improve sleep quality in individuals with Restless Legs Syndrome (RLS), also known as Willis-Ekbom Disease (WED).
B. Diphenhydramine and other antihistamines are not recommended for RLS, as they can actually worsen symptoms and cause anticholinergic side effects in older adults.
C. Regular mild to moderate physical activity, especially stretching the lower extremities, can help relieve RLS symptoms and improve circulation.
D. Avoiding caffeine, alcohol, and tobacco is essential because these substances can exacerbate RLS symptoms.
E. Hot baths are not contraindicated; in fact, they may actually help relieve symptoms for some individuals. Therefore, avoiding them is not recommended.
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Related Questions
Correct Answer is B
Explanation
A. Installing handrailsis a helpful safety measure that supports balance and mobility, reducing fall risk.
B. Keeping bed side rails upcan be dangerous, especially for older, frail adults. They may try to climb over them, increasing the risk of serious injury from falls. This intervention is often considered a form of restraint.
C. Low wattage night-lights improve visibilityand reduce disorientation at night, helping to prevent falls.
D. Encouraging proper assistive device use(like a cane) enhances safety during ambulation and is an appropriate fall-prevention strategy.
Correct Answer is B
Explanation
A. Delirium typically has a sudden onset, often over hours or days, while dementia has a gradual, progressive onsetover months to years.
B. Delirium is usually acute and reversible, often triggered by underlying medical conditions like infections, while dementia is chronic, progressive, and irreversible.
C. Hallucinations are more common in deliriumthan in early stages of dementia. Dementia may involve hallucinations in later stages, but they are not a distinguishing feature.
D. Dementia does not always result in complete memory loss, and delirium can also affect attention, memory, and cognition, especially in older adults.
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