At bedtime, a female client with dementia becomes increasingly confused and agitated because she believes that someone is standing behind the privacy curtain. Which action should the practical nurse (PN) take?

Administer a PRN antianxiety agent.

Tell her no one is behind the curtain.

Transfer the client to another room.

Leave a night light on in her room.

Answer and Explanation

The Correct Answer is D

A.   Administer a PRN antianxiety agent. - This should be a last resort due to potential side effects.
Non-pharmacological interventions are usually preferable.
B.   Tell her no one is behind the curtain. - Arguing or contradicting her belief may escalate her agitation or confusion.
C.   Transfer the client to another room. - Moving her to a new environment might exacerbate her confusion and distress.
D.   Leave a night light on in her room. - This is a simple, non-intrusive intervention that can help reduce visual misinterpretations and provide comfort, potentially calming her agitation without confrontation or disruption.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Determine the means by which residents will be evacuated. - This task requires critical decision-making and understanding of evacuation protocols, which is within the scope of the practical nurse's responsibilities.
B. Close all fire doors and the doors to all the residents' rooms. - While important for containment, this can be executed by UAP following established protocols.
C. Assist any wandering residents back to their rooms. - UAP can assist in guiding residents back to their rooms safely.
D. Offer comfort and reassurance to distraught residents. - Both PN and UAP can offer comfort and reassurance to residents during such situations.

A. Ask the client if he finished the bowel sterilization prescription. B. Review the client's expectations of elimination after surgery. C. Verify that the client had nothing by mouth (NPO) for the past 24 hours. D. Determine if this is the first indwelling catheter the client has had.

Correct Answer is B

Explanation

A. Asking about the bowel sterilization prescription isn't directly related to the client's concern about the visibility of the surgical opening.
B. Reviewing the client's expectations regarding elimination after surgery helps address the client's concerns about the surgical opening and ensures proper education and understanding.
C. Verifying the NPO status is important for surgery preparation but doesn’t address the client's specific concern.
D. Understanding if this is the client's first indwelling catheter doesn’t directly address the immediate concern of the client regarding the visibility of the surgical opening.

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At bedtime, a female client with dementia becomes increasingly confused and agitated because she believes that someone is standing behind the privacy curtain. Which action should the practical nurse (PN) take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When a small fire breaks out in the kitchen of a long-term care facility, which task should be performed by the practical nurse (PN) rather than the unlicense assistive personnel (UAP)?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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