A nurse is collecting data from an older adult client and finds visible bruises on their lower legs. Which of the following client statements should the nurse identify as a risk factor for elder abuse?

"My caregiver rearranged the furniture in the living room and I ran into the couch."

"I take a blood thinner and I bump into things sometimes."

"Please don't tell anyone you saw these; I do not want to go to a nursing home."

"I don't like having to use my walker for short trips when I am in my home."

Answer and Explanation

The Correct Answer is C

A. "My caregiver rearranged the furniture in the living room and I ran into the couch.":
This explanation is plausible and does not necessarily indicate abuse.

B. "I take a blood thinner and I bump into things sometimes.":
Clients on anticoagulants are at higher risk of bruising from minor trauma.

C. "Please don't tell anyone you saw these; I do not want to go to a nursing home.":
Fear of reporting, secrecy, and concern over consequences are common signs of potential abuse or neglect.

D. "I don't like having to use my walker for short trips when I am in my home.":
This statement reflects a personal preference, not a red flag for abuse.

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Correct Answer is D

Explanation

A. "I should take this medication with milk."
Calcium in milk inhibits iron absorption.

B. "I can take this medication with caffeinated beverages."
Caffeine reduces iron absorption.

C. "I might have loose, yellow stools while taking this medication."
Iron causes dark (black/green) stools, not yellow or loose stools.

D. "I should take this medication between meals."
Iron is best absorbed on an empty stomach, though it may be taken with food if GI upset occurs.

A. Encourage the client to change positions every 4 hr. B. Offer the client a clear liquid diet when fully alert. C. Ensure that the client receives pain medication prior to ambulation. D. Discontinue antibiotic therapy on the first postoperative day.

Correct Answer is C

Explanation

A. Encourage position change every 4 hr
Should be more frequent, typically every 2 hr to prevent complications.

B. Offer clear liquids when fully alert
Bowel sounds and flatus should be confirmed first to avoid ileus.

C. Ensure the client receives pain medication prior to ambulation.
Adequate pain control promotes mobility and reduces complications like atelectasis.

D. Discontinue antibiotics on first post-op day
Antibiotics are continued as per provider order, especially with ruptured appendix.

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A nurse is collecting data from an older adult client and finds visible bruises on their lower legs. Which of the following client statements should the nurse identify as a risk factor for elder abuse?

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Naxlex Comprehensive Predictor Exams

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