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.

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A rationale:

Sertraline is an antidepressant medication known as a selective serotonin reuptake inhibitor (SSRI). One of the potential side effects of SSRIs is sexual dysfunction, including erectile dysfunction.

Choice B rationale:

Vancomycin is an antibiotic and is not typically associated with erectile dysfunction.

Choice C rationale:

Topiramate is an anticonvulsant medication and is not typically associated with erectile dysfunction.

Choice D rationale:

Polyethylene glycol is a laxative and is not typically associated with erectile dysfunction.

A. Positive Rheumatoid factor B. WBC count 2.000/mm3 C. Hemoglobin 14.8 g/dL D. Erythrocyte sedimentation rate 24 mm/hr

Correct Answer is B

Explanation

Choice A rationale:

A positive Rheumatoid factor is associated with rheumatoid arthritis and is not an adverse effect of methotrexate.

Choice B rationale:

A low WBC count (leukopenia) is an adverse effect of methotrexate and can increase the risk of infection.

Choice C rationale:

A hemoglobin level of 14.8 g/dL is within a normal range and is not an adverse effect of methotrexate.

Choice D rationale:

An erythrocyte sedimentation rate (ESR) of 24 mm/hr is within a normal range and is not an adverse effect of methotrexate.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

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