A client with moderate stage dementia, who resides in a long-term care facility, has been demonstrating an increasing amount of difficulty determining which bed in the room is his. What interventions should the nursing staff take?
A) Place the client in restraints to limit ambulation.
B) Establish landmarks at the client's bedside.
C) Investigate placing the client in a private room.
D) Recognize the client is not responsible for the confusion and simply reorient him when it happens again.
B
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Which of the following patients is most at risk for hypovolemic shock after emergency surgery?
a. 14-year-old adolescent with gastroenteritis b. 59-year-old patient with pneumonia c. 12-year-old patient with H1N1 flu d. 28-year-old patient with a fractured ankle
The nurse is applying high-top tennis shoes on an immobilized client who is in the Fowler's position. The purpose of these tennis shoes would be to:
a. help prevent foot drop. b. promote comfort. c. prevent pressure ulcer formation on the heels. d. aid in turning the client.
The parents of a child with sickle cell anemia (SCA) are concerned about subsequent children having the disease. What statement most accurately reflects inheritance of SCA?
a. SCA is not inherited. b. All siblings will have SCA. c. Each sibling has a 25% chance of having SCA. d. There is a 50% chance of siblings having SCA.
The nurse, caring for a client recovering from the placement of a shunt to treat portal hypertension, should assess the client for which of the following complications associated with this surgery?
1. Myocardial infarction 2. Pulmonary emboli 3. Pulmonary edema 4. Decreased peripheral pulses