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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A. Oxygen concentration in the air affects the available oxygen for breathing during submersion.
B. While witnessing the fall is important for response time, it doesn’t directly affect the level of hypoxemia.
C. Water temperature impacts the body's response to submersion, affecting oxygen utilization.
D. The duration of submersion directly correlates with the level of hypoxemia.
Correct Answer is C
Explanation
A. This response offers uncertain information without giving much reassurance or accurate details about the typical outcome of hair loss post-chemotherapy.
B. This response doesn't address the usual outcome of hair regrowth after chemotherapy and focuses on treatment dosage rather than the nature of hair loss.
C. "Hair loss is not usually permanent, but the color and texture may change when it grows back." This response offers a balanced and accurate explanation, providing reassurance about potential hair regrowth while acknowledging possible changes in hair characteristics.
D. While offering information about wigs, this response doesn't directly address the likelihood of hair regrowth after chemotherapy and focuses on alternatives rather than the expected outcome.
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