An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help decrease the client's confusion by:

Correct Answer: D

Rationale: A night light reduces nighttime confusion in elderly clients by improving visibility, orienting them to their surroundings, and decreasing disorientation a common, non-invasive dementia strategy. Constant supervision, room-sharing, or sedatives are less practical or riskier, potentially increasing agitation or falls. Nurses implement this to enhance safety and comfort, minimizing wandering without restricting autonomy excessively.

Correct Answer: C

Rationale: Zofran (ondansetron), a 5-HT3 antagonist, prevents nausea pre-chemotherapy for breast cancer, blocking serotonin-mediated vomiting a standard antiemetic strategy. It doesn't affect anemia, relaxation, or neutrophils. Nurses time it 30 minutes prior for peak effect, ensuring comfort during treatment, critical for adherence and quality of life.

Correct Answer: A

Rationale: Discarding the first voiding starts a 24-hour urine collection accurately, as it reflects prior kidney output subsequent urine measures the exact period. Saving all, catheterizing, or hourly voiding skews or complicates results. Nurses explain this, ensuring precise diagnostic data for renal or metabolic assessment.

Correct Answer: B

Rationale: Avoiding tub baths for 48 hours post-heart catheterization prevents site bleeding or infection activity resumes per physician, Coumadin isn't routine, and fever reporting is general advice. Nurses emphasize this, ensuring puncture site healing, critical for safe recovery.

Correct Answer: A

Rationale: Avoiding rocking horse play post-hypospadias repair prevents urethral trauma compresses don't target surgical pain, diapering continues, and diet isn't specific. Nurses teach activity limits, ensuring healing, critical for this urologic surgery.