Author Question: A 79-year-old resident in a long-term care facility is known to wander at night and has fallen in ... (Read 37 times)

futuristic · **on:** Jul 22, 2018

A 79-year-old resident in a long-term care facility is known to wander at night and has fallen in the past. Which of the following nursing interventions is the most appropriate for this client?

a. An abdominal restraint should be placed on the client during sleeping hours.
b. The client should be checked frequently during the night.
c. A radio should be left playing at the bedside to assist in reality orientation.
d. The client should be placed in a room away from the activity of the nursing sta-tion.

Question 2

Which of the following statements about caring for clients with communicable diseases, such as SARS and AIDS, is true?

a. Every health care worker who comes into contact with a client has the right to know the client's HIV infection status.
b. A nurse can refuse to care for a client with SARS or AIDS if he or she fears for his or her own personal health.
c. Strict compliance with standard precautions should be the nurse's strategy when caring for all clients.
d. In known cases of AIDS or SARS, information can be disclosed without the cli-ent's consent.

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

Answer to Question 1

B
Alternatives to restraints should be attempted first. (A physician's order is required for restraints to be applied.) The most appropriate intervention is to check on the client frequently.
Alternatives to restraints should be attempted first.
A radio may help orient a client to reality. However, the most appropriate intervention for the client who wanders is to check on the client frequently.
Clients who wander should be assigned to rooms near the nursing station and checked on fre-quently.

Answer to Question 2

C
Strict compliance with standard precautions/routine practices and the use of transmission-based (e.g., airborne or droplet) precautions for clients known or suspected of having serious com-municable illnesses is the nurse's wisest strategy.
Not every health care worker who comes in contact with a client needs to know the client's HIV status. Confidential information must be protected.
Nurses who refuse to care for an HIV-infected client or a client with SARS may be reprimanded or fired for insubordination.
Whenever information about a client is requested by any third parties, including insurance com-panies or employers, nurses must obtain a signed release from the client before releasing confi-dential information.