A home health nurse is caring for a group of older adult clients. Which of the following statements by a client is an indication they may be experiencing social isolation?

"I am not able to walk for very long so I ride the stationary exercise bike at the gym."

"I enjoy having lunch with my grandchildren every other Sunday."

"I have a few friends over for coffee a couple of times a week."

"I have a lot of arthritis pain, so I only leave my house to get the mail."

Answer and Explanation

The Correct Answer is D

A.   Although this client may have physical limitations, they are still engaging in social activities by going to the gym, indicating less likelihood of social isolation.
B.   This client has regular social interactions with family members, suggesting they are not socially isolated.
C.   Regular social gatherings with friends indicate social engagement and are not indicative of social isolation.
D.   Restricting activities outside the home to only essential tasks like getting the mail due to pain or other reasons can indicate social isolation and limited social interactions.

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Correct Answer is C

Explanation

A. Clean gloves are typically sufficient for wound care, and the use of sterile gloves may not be necessary for routine dressing changes.
B. Frequent dressing changes can disrupt wound healing and increase the risk of infection. Dressings should be changed according to the healthcare provider's instructions, which are typically less frequent.
C. When cleaning the wound, it is important to start from the incision site and work outward to avoid introducing contaminants into the wound.
D. Tincture of benzoin is a skin adhesive and may not be routinely used for dressing changes, especially if it is not specified in the healthcare provider's orders.

A. Respiratory rate 7/min B. Distended bladder C. Last bowel movement was 3 days ago D. Reports pain of 8 on a scale from 0 to 10

Correct Answer is A

Explanation

A. A respiratory rate of 7/min is below the normal range and may indicate opioid- induced respiratory depression, which is a life-threatening complication requiring immediate intervention.
B. While important, a distended bladder does not pose an immediate threat to the client's life compared to respiratory depression.
C. Constipation is a common side effect of opioid medications but does not require immediate intervention unless accompanied by severe symptoms such as fecal impaction or bowel obstruction.
D. Pain management is important, but respiratory depression takes priority as it can lead to respiratory arrest and death.

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A home health nurse is caring for a group of older adult clients. Which of the following statements by a client is an indication they may be experiencing social isolation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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