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A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's disease.
The caregiver reports that the client awakens at night and wanders.
Which of the following strategies should the nurse suggest?.

Use light restraints while the client is in bed.

Place a lock at the top of doors leading outside.

Encourage the client to nap during the day.

Administer an antianxiety medication before bedtime.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Using restraints can lead to injury and is generally a last resort.

Choice B rationale:

Placing a lock at the top of doors can prevent the client from wandering outside and getting lost or injured.

Choice C rationale:

Encouraging napping during the day can actually disrupt the client’s sleep cycle and increase nighttime wakefulness.

Choice D rationale:

While medication can be helpful, non-pharmacological interventions should be tried first.

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Correct Answer is A

Explanation

Choice A rationale:

Administering lithium with meals can help reduce gastrointestinal upset, a common side effect of the medication.

Choice B rationale:

Lithium does not typically cause hypoglycemia. It primarily affects the nervous system and kidneys.

Choice C rationale:

There’s no need to decrease dietary potassium. Lithium can affect sodium levels, but not potassium.

Choice D rationale:

Increasing daily caloric intake is not necessary when taking lithium. The medication does not affect metabolism or caloric needs.

A. Administer an antianxiety medication B. Calculate the client's score on the Hamilton Rating Scale for Anxiety. C. Explain the use of response prevention to the client. D. Discuss the benefits of relaxation exercises with the client.

Correct Answer is B

Explanation

Choice A rationale:

Administering an antianxiety medication can help manage symptoms, but it’s not the first action a nurse should take.

Choice B rationale:

Calculating the client’s score on the Hamilton Rating Scale for Anxiety is the first step in assessing the severity of the client’s anxiety.

Choice C rationale:

Explaining the use of response prevention can be beneficial, but it’s not the first action the nurse should take.

Choice D rationale:

Discussing the benefits of relaxation exercises can help manage anxiety, but it’s not the first action the nurse should take.

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A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's disease. The caregiver reports that the client awakens at night and wanders. Which of the following strategies should the nurse suggest?.

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A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's disease.
The caregiver reports that the client awakens at night and wanders.
Which of the following strategies should the nurse suggest?.