A nurse is performing an admission assessment for an older adult client. The nurse should identify that which of the following findings is a manifestation of possible elder maltreatment?
The client has decreased muscle mass.
The client's eyes have white circles surrounding the cornea.
The client's clothes have a urine odor.
The client has nodules on the metacarpal joints.
The Correct Answer is C
Choice A rationale:
Decreased muscle mass can be a normal age-related change in older adults and is not necessarily indicative of elder maltreatment.
Choice B rationale:
White circles surrounding the cornea (arcus senilis) is a common age- related finding and is not necessarily indicative of elder maltreatment.
Choice C rationale:
The presence of urine odor on the client's clothes could indicate neglect or inadequate care and should be further investigated.
Choice D rationale:
Nodules on the metacarpal joints may be related to osteoarthritis, which is a common condition in older adults and may not necessarily indicate elder maltreatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Placing the client on a low-protein diet is not appropriate based solely on the provided information.
Choice B rationale:
Restricting dietary sodium might be considered for specific conditions but is not directly related to the client's confusion.
Choice C rationale:
A high magnesium level can contribute to confusion in older adults. Requesting a reduction in the magnesium hydroxide dosage can help address this issue.
Choice D rationale:
Discontinuing diphenhydramine might be considered if it is contributing to the client's confusion, but there is no specific information provided to support this action.
Correct Answer is C
Explanation
Choice A rationale:
Asterixis is a hand-flapping tremor that can be associated with hepatic encephalopathy, not pancreatic cancer.
Choice B rationale:
Weight gain is not typically associated with pancreatic cancer and may not be a relevant manifestation to include.
Choice C rationale:
Abdominal pain is a common manifestation of pancreatic cancer and should be included in the teaching.
Choice D rationale:
Constipation is not typically associated with pancreatic cancer and may not be a relevant manifestation to include.
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