Author Question: An older man has Alzheimer disease, and his wife says he is up and wandering around the house at ... (Read 81 times)

Tazate · **on:** Jul 11, 2018

An older man has Alzheimer disease, and his wife says he is up and wandering around the house at night. Which intervention should the nurse implement to increase the man's duration of sleep?

a. Instruct the wife to increase his daily physical activity.
b. Collaborate with the health care provider to administer a hypnotic medication.
c. Teach the wife how to apply a vest re-straint during sleep.
d. Help the wife plan daily periods for nap-ping and activity.

Question 2

Which is a true statement about mobility and safety for older adults?

a. Use of restraints on older patients helps prevent injuries from falls.
b. Falls that do not cause physical injury are not significant.
c. The get-up-and-go test provides a measure of a client's energy and initiative.
d. Lowering the bed and fluorescent tapes are interventions to increase safety.

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

Answer to Question 1

A
Regular exercise can help increase the duration of sleep during the night. Adding a new medica-tion to the existing pharmacotherapy can increase adverse drug interactions and complicate the problem; the existing therapeutic regimen can be already contributing to the problem. Adminis-tering a hypnotic medication is the therapy of last resort and can be ineffective. The nurse avoids recommending the use of restraints; restraint use is associated with an increased incidence of in-jury and accidents. In addition, restraints can be an ineffective therapy and can contribute to hos-tility and combativeness. Excessive napping during the day may be contributing to the problem.

Answer to Question 2

D

Feedback
A Incorrect. Restraints have been shown not to increase safety and may contribute to morbidity and mortality.
B Incorrect. Even if a fall does not cause injury, it can contribute to fear of falling, inhibiting activities of daily living.
C Incorrect. The get-up-and-go test, in which the person rises from a straight-backed chair, walks 10 feet, returns, and sits down, assesses balance and gait.
D Correct. Adjusting bed height to match the length of the resident's lower leg and marking the path from bed to toilet with bright fluorescent tape are some of many possible interventions to improve residents' safety.