Which of the following would be appropriate nursing actions for ...

[joblessjake]

Which of the following would be appropriate nursing actions for an elderly person with night-wandering? (Select all that apply.)
 
  A) Ensure that the client is engaged in daytime activities, particularly late day exercise.
  B) Keep the light on at all times.
  C) Lock the door so that the elderly person cannot leave their room.
  D) Assist the elderly person to toilet before bedtime.
  E) Encourage the elderly person to sleep in the daytime.

Question 2

A nurse is receiving change-of-shift report about an older adult patient who has a diagnosis of chronic obstructive pulmonary disease (COPD).
 
  The nurse's colleague reports that she has applied oxygen at 6 L/min by nasal prongs in an effort to bring the patient's oxygen saturation levels above 92. How should the nurse best interpret this colleague's action?
  A) Supplementary oxygen should not normally be given to patients who have a history of COPD.
  B) The patient should be given oxygen by simple face mask rather than by nasal prongs.
  C) Giving oxygen at a high rate has the potential to interfere with the patient's hypoxic drive.
  D) The patient will require 2 to 3 hours of oxygen therapy before an increase in oxygen saturation occurs.

[TINA]

Answer to Question 1

A, D
Feedback:
Providing daytime activities, especially late day exercise, and toileting before bed time can help with night-wandering. A night light should be kept on in bedroom and bathroom, but there is no need to have a light on at all times. Although the environment should be safeguarded, the wanderer should not be locked in the room. Daytime sleeping could promote nighttime awakeness.

Answer to Question 2

C

[joblessjake]

TYSM

[sailorcrescent]

Excellent