Author Question: The nurse working in a geriatrician's office is admitting a client diagnosed with Alzheimer's ... (Read 32 times)

ARLKQ · **on:** Jul 22, 2018

The nurse working in a geriatrician's office is admitting a client diagnosed with Alzheimer's disease when the client's daughter says, I love my Mom, but she is driving me crazy.

I have to watch her constantly because she tends to wander, and I am only getting about four hours of interrupted sleep a night. I don't know how much longer I can stand this. The nurse interprets this comment as an indication of: 1. Exhaustion of the caregiver.
2. Caregiver role strain with potential for elder abuse.
3. The need to place the client in a nursing home.
4. A sign that the client is in the end stage of Alzheimer's disease.

Question 2

The nurse is caring for a diabetic client. When preparing the client's insulin dose, the nurse understands that common insulin errors include:(Select all that apply) Standard Text: Select all that apply.

1. Omitting doses
2. Extra doses
3. Using the wrong type of insulin
4. Administering to the wrong client
5. Administering the wrong amount

macagn · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2
Rationale: The exhausted caregiver daughter is exhibiting signs that could indicate the potential for abuse, and the nurse should explore options for the family that would allow the caregiver time to sleep and meet her own needs. The caregiver is plainly indicating that she is exhausted, and this doesn't require interpretation. It is uncertain if this family desires placement in a nursing home or whether other options might work better for them. This client is not in late-stage Alzheimer's if she is still able to wander.

Answer to Question 2

1,3,4,5
Rationale: Omission of ordered insulin is a common medication error