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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Radiation therapy is not typically the primary method of treatment for melanoma. Surgical excision and other therapies are often utilized.
Choice B rationale:
Metastasis in melanoma generally occurs from the outer layers of the skin to deeper levels and eventually to other parts of the body.
Choice C rationale:
Specific genetic mutations, such as mutations in the BRAF gene, are associated with an increased risk of developing melanoma.
Choice D rationale: Melanoma is a highly metastatic form of skin cancer that can spread quickly to other parts of the body. Early diagnosis and treatment are crucial to improve outcomes.

Correct Answer is A
Explanation
Choice A rationale:
Magnesium sulfate is often used to suppress preterm labor by relaxing the uterine smooth muscle.
Choice B rationale:
Methylergonovine is used to prevent or control postpartum hemorrhage and is not typically used for preterm labor.
Choice C rationale:
Calcium gluconate is used to treat magnesium sulfate toxicity and is not typically used for preterm labor.
Choice D rationale:
Dinoprostone is used to ripen the cervix for labor induction, not to suppress preterm labor.
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