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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

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

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

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.

Helping your mother should be easier than raising a child.

Answer and Explanation

Correct Answer : A,E,G

A. Involve your mother in the decision-making process.

Involving the client in decision-making can help maintain her autonomy, reduce feelings of

helplessness, and potentially decrease the daughter's caregiver burden by sharing responsibility.

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

This statement is incorrect and could exacerbate feelings of guilt and stress in the caregiver. Decisions about care facilities should be based on the best interests of both the client and the caregiver, not on guilt or misconceptions about love.
C. It is okay not to love or like your mother when you are caring for her.

This statement might be misunderstood and could increase feelings of guilt and stress. It's more helpful to acknowledge that caregiving can be challenging and that it's normal to have mixed emotions.
D. You made a promise to your mother that you need to keep.

This statement could increase stress by suggesting that the caregiver has no options or flexibility, potentially exacerbating feelings of obligation and guilt.
E. Take time for yourself and the other relationships that you care about.

Taking time for self-care and maintaining other relationships is crucial for reducing caregiver stress and preventing burnout.
F. Saying "no" to things involving the care of your mother is a selfish action.

This statement is incorrect and could increase feelings of guilt and stress. It's important for caregivers to set boundaries and understand that it's okay to say "no" sometimes to maintain their well-being.
G. Helping your mother should be easier than raising a child.

This statement is misleading. Caregiving for an elderly parent can be as demanding, if not more so, than raising a child. It's important to recognize and validate the challenges of caregiving to provide appropriate support.
H. Avoid discussion of negative situations that may occur in the future.

This statement is not advisable. Open and honest communication about potential challenges is important for planning and reducing stress through preparedness.

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is []

Explanation

Immunological Administer antihistamine
The correct answer is to administer antihistamine. Antihistamines can help alleviate symptoms of an allergic reaction, such as itching, hives, and swelling, by blocking the effects of histamine
released during the allergic response.

Cardiovascular

Monitor vital signs continuously

The correct answer is to monitor vital signs continuously. Continuous monitoring of vital signs, including blood pressure, heart rate, and oxygen saturation, is essential to detect any changes in the client's cardiovascular status, especially after experiencing adverse reactions to medication.

Provide warmth

Providing warmth can help improve peripheral circulation and comfort for the client, especially if they are experiencing symptoms such as dizziness or feeling cold due to a drop in blood pressure.

Respiratory

Assess lung sounds

The correct answer is to assess lung sounds. Assessing lung sounds can help determine if the client is experiencing any respiratory distress or complications, such as wheezing or crackles, which may indicate a need for further intervention or respiratory support.

Chest x-ray

Ordering a chest x-ray can help evaluate the client's respiratory status, especially if there are concerns about potential complications such as pneumonia or pulmonary edema. It allows for the assessment of lung fields and can provide valuable information about the client's respiratory function.

A. Ask if the client is experiencing any pain with urination. B. Determine if the client has recently experienced a fall. C. Provide instruction on taking the client's temperature. D. Encourage increased intake of high protein foods. E. Review the client's current food and medication allergies

Correct Answer is ["A","B","C","E"]

Explanation

A. Ask if the client is experiencing any pain with urination. Urinary tract infections (UTIs) are common in older adults and can lead to sudden changes in behavior, including confusion and agitation.
B. Determine if the client has recently experienced a fall. Falls can lead to head injuries or other trauma that may cause confusion or changes in behavior in older adults.
C. Provide instruction on taking the client's temperature. Fever can be a sign of infection, which might be causing the sudden behavioral changes. Monitoring temperature can help identify if an infection is present.
D. Encourage increased intake of high protein foods. While good nutrition is important, it is not directly related to the sudden onset of confusion and agitation, making this a less immediate priority.
E. Review the client's current food and medication allergies. Allergic reactions to foods or
medications can cause sudden behavioral changes. Reviewing allergies can help determine if this is the cause of the symptoms.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

Correct Answer is ["A","B","C","E"]

Explanation

Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Exhibits What laboratory specimens would the nurse expect for the provider to order? Select all that apply.

Which laboratory test results should the nurse monitor in a client who has end-stage renal disease (ESRD)?

A client with diabetic peripheral neuropathy has been taking pregabalin for 4 days. Which finding indicates to the nurse that the medication is effective?

To auscultate for a carotid bruit, the nurse places the stethoscope at what location (Select the correct location on the image. To change, click on a new location.)

A client with schizophrenia reports auditory hallucinations when admitted to the hospital. Which question is most important for the nurse to include in the assessment of this client?

While the nurse is conducting an admission assessment of a female client with bipolar disorder, the client suddenly begins to take off her clothes and throw them about the room. Which action should the nurse take first?