The nurse is caring for a 78-year-old woman who is brought to the ...

[daltonest1984]

The nurse is caring for a 78-year-old woman who is brought to the emergency department from home. The client has a diagnosis of dementia and is being treated for abdominal pain.
 
  During the assessment, the nurse identifies multiple bruises on the extremities that appear to be 1 to 2 weeks old. The nurse also has resistance from the client during the insertion of a urinary catheter. The client's son is the caregiver and tells you the bruises are from the patient falling. The assessment of the physical injuries and the client's behavior indicate what intervention by the nurse?
  A) obtain an order for disturbance in blood clotting
  B) investigate for potential elder abuse
  C) provide physical restraint to prevent the client from pulling out the catheter
  D) sedate the patient to increase cooperation

Question 2

The nurse is implementing sleep restriction therapy with an older patient. What intervention will be performed to support this plan of treatment?
 
  1. Structuring patient naps to occur midmorning and midafternoon
  2. Putting on the television in the room after getting the patient ready for sleep
  3. Teaching the patient to watch the second hand move on the clock while waiting to fall asleep
  4. Planning to wake the patient up at the same time each morning regardless of the sleep obtained

[vickybb89]

Answer to Question 1

B

Answer to Question 2

4
Rationale: In sleep restriction therapy, naps are to be avoided.