Author Question: The nursing staff on a subacute, geriatric medicine unit of a hospital have noted that Mr. R, an ... (Read 78 times)

jc611 · **on:** Jul 11, 2018

The nursing staff on a subacute, geriatric medicine unit of a hospital have noted that Mr. R, an 80-year-old patient with a diagnosis of Alzheimer's disease, tends to become agitated in the evening and early in the night.

Which of the following nursing actions is most likely to effectively address Mr. R's sundowner syndrome? A) Ensure that Mr. R's room is kept as dark as possible during the times in question.
B) Limit Mr. R's fluid intake after 17:00 to prevent nocturia.
C) Minimize the amount of touch used in nursing care to avoid stimulating Mr. R.
D) Schedule physical therapy and exercise in the afternoon hours to help Mr. R expend energy.

Question 2

The nurse realizes that the patient who has had an abdominal hysterectomy needs further home teaching when she states

a. I understand I can lift anything less than 20 pounds.
b. I'm leaving today to stay with my daughter, who lives 200 miles away. My husband plans to drive the family car.
c. The doctor said I can't have sexual intercourse for 4 to 6 weeks.
d. I'm going to miss wearing my girdle or knee-high hose.

harveenkau8139 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

D
Feedback:
Physical activity in the afternoon can help minimize sundowner syndrome in older adults. The environment should not be kept completely dark. Touch can be a useful tool, and fluids should never be withheld or limited in an effort to control behavior.

Answer to Question 2

A
If there has been an abdominal incision, there may be further restrictions on heavy lifting (nothing over 10 pounds).