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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Correct Answer is A

Explanation

A. Determining the means of evacuation requires understanding the facility's evacuation protocols, coordinating with authorities, and ensuring the safety of residents, which typically falls under the responsibility of the nursing staff, including the practical nurse (PN).
B. Closing fire doors and residents' room doors can be part of fire safety protocols and may involve the immediate safety response handled by both nursing staff and facility personnel.
C. Assisting wandering residents and offering comfort and reassurance to distraught residents can be tasks shared among nursing and support staff to ensure resident safety and well-being during an emergency situation.

A. A Irrigate an indwelling urinary catheter for a client with bladder suspension. B. Empty bedside drainage unit for a client with indwelling urinary catheter. C. Transport a urine culture sample to the laboratory. D. Obtain a post-voided residual (PVR) volume.

Correct Answer is ["B","C","D"]

Explanation

A. Irrigate an indwelling urinary catheter for a client with bladder suspension. - This procedure requires specialized skills and should be performed by a licensed nurse.
B. Empty bedside drainage unit for a client with an indwelling urinary catheter. - UAP can safely perform this task by following established protocols to maintain catheter hygiene.
C. Transport a urine culture sample to the laboratory. - This task involves safely transporting a specimen and does not require specialized medical knowledge.
D. Obtain a post-voided residual (PVR) volume. - This task can be performed by UAP under supervision or with appropriate training, using a bladder scanner or assisting the client to measure remaining urine.
E. Teach the client with fluid restrictions how to measure urine output. - Teaching tasks generally fall under the responsibility of licensed nursing staff and may require specific medical knowledge.

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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 unlicensed assistive personnel (UAP)?

Correct Answer is A

Explanation

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Correct Answer is ["B","C","D"]

Explanation

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