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Case 3/6

Exhibits

The nurse uses the Modified Caregiver Strain Index (MCIS) and determines that the daughter is under significant stress caused by the assumption of her mother's care. The nurse is planning to have a discussion with the daughter on decreasing the stress she is experiencing as a caregiver.

Select the 3 statements that the nurse should include when discussing caregiver stress with the client's daughter.

Involve your mother in the decision making process.

Moving your mother into a care facility will show her that you do not love her.

Helping your mother should be easier than raising a child.

It is okay not to love or like your mother when you are caring for her.

Take time for yourself and the other relationships that you care about.

Saying "no" to things involving the care of your mother is a selfish action.

You made a promise to your mother that you need to keep.

Avoid discussion of negative situations that may occur in the future.

Answer and Explanation

Correct Answer : A,E,H

A.   Involve your mother in the decision-making process.
o   Reason: Involving the client in decisions can empower both the client and caregiver, improve the caregiving relationship, and reduce stress. This approach respects the client's autonomy and acknowledges their preferences and needs.
E.   Take time for yourself and the other relationships that you care about.
a.   Reason: Encouraging self-care and maintaining relationships helps prevent burnout and manage caregiver stress. Caregivers need time for rest and personal activities to sustain their well-being and effectiveness.
H. Avoid discussion of negative situations that may occur in the future.
b.   Reason: Focusing on present challenges rather than potential future problems helps reduce anxiety and stress. It’s more constructive to address current issues and develop coping strategies rather than worrying about hypothetical scenarios.

Not Selected Statements:
B. Moving your mother into a care facility will show her that you do not love her.
•   Reason: This statement is incorrect as it fosters guilt and does not acknowledge that placing a loved one in a care facility can be a practical and loving decision based on care needs.
C. Helping your mother should be easier than raising a child.
•   Reason: This statement is misleading and dismissive of the unique challenges of caregiving. Comparing caregiving to parenting undermines the complexity and emotional strain of the caregiver’s role.
D. It is okay not to love or like your mother when you are caring for her.
•   Reason: This statement is inappropriate as it suggests that negative feelings are acceptable, which can exacerbate stress rather than helping to manage it constructively.
F. Saying "no" to things involving the care of your mother is a selfish action.
•   Reason: This statement is incorrect and unhelpful, as setting boundaries is essential for managing caregiver stress and maintaining a balance between caregiving and personal life.
G. You made a promise to your mother that you need to keep.
•   Reason: This statement may create feelings of obligation and guilt. It is important to recognize that caregiving needs may change and it is acceptable to seek support or alternative care options.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Instruct the client to cough as the suction tip is removed: Clients with ALS might have difficulty coughing effectively, making this action inappropriate.
B. Apply a water-soluble lubricant to the catheter: Lubricant is not necessary for suctioning oral secretions.
C. Instill 3 mL of normal saline before suctioning: Instilling saline is not recommended for oral suctioning due to the risk of aspiration.
D. Wear protective goggles while performing the procedure: Protective goggles are important to prevent splashes from secretions during suctioning.

A. Obtain an analgesic prescription. B. Cover client with a cooling blanket. C. Infuse an intravenous fluid bolus. D. Administer PRN oral antipyretic.

Correct Answer is C

Explanation

A. Obtaining an analgesic prescription addresses pain but is not the most urgent need in the context of an acute adrenal crisis with hypotension.
B. Covering the client with a cooling blanket addresses fever but is not the priority intervention compared to managing the client’s critical low blood pressure and shock.
C. Infusing an intravenous fluid bolus is the most critical intervention for managing hypotension in an acute adrenal crisis. Fluid resuscitation is essential to stabilize blood pressure and address the crisis.
D. Administering a PRN oral antipyretic would help manage fever but does not address the more immediate issue of hypotension and shock.

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Naxlex Comprehensive Predictor Exams

The nurse observes a client with amyotrophic lateral sclerosis (ALS) is excessively drooling and prepares to suction the client's oral cavity. Which action should the nurse include?

Correct Answer is D

Explanation

A client with a history of adrenal insufficiency is admitted to the intensive care unit with an acute adrenal crisis. The client is complaining of nausea and joint pain. Exhibits Which intervention should the nurse implement first?

Correct Answer is C

Explanation

A client is admitted for an exacerbation of heart failure (HF) and is being treated with diuretics for fluid volume excess. In planning nursing care, what intervention(s) should the nurse include? Select all that apply.

A client admitted to the hospital with a suspected ruptured diverticulum develops signs and symptoms of septic shock. The healthcare provider prescribes a sepsis protocol. Which intervention is most important for the nurse to include in the plan of care?

A client who is hypotensive is receiving dopamine, an adrenergic agonist, intravenously (IV) at the rate of 8 mcg/kg/min. Which intervention should the nurse implement while administering this medication?

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The nurse identifies an electrolyte imbalance, an elevated blood pressure, and a weight gain of 4.4 lbs (2 kg) in 24 hours for a client with hepatic failure. Which intervention should the nurse include in the plan of care?

A client with influenza needs help in transferring to the bedside commode. The nurse observes the unlicensed assistive personnel (UAP) donning gloves and a gown to assist the client. Which action should the nurse take?