Exhibits

New data is reviewed.

Choose the most likely options for the information missing from the statements by selecting from the lists of options provided.

This client is exhibiting signs of
dropdown
. The nurse is a mandated reporter and therefore must report the elder mistreatment to
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Neglect is the most appropriate option because the client’s inability to access the restroom independently and lack of adequate personal care, as indicated by poor hygiene, tangled hair, matted nails, and untreated wounds, are signs of neglect. Additionally, the client is being kept bedridden against her will, which points to a lack of adequate care and respect for her autonomy, further supporting neglect.

Adult Protective Services (APS) is the proper agency to contact when there are concerns about elder neglect or abuse. APS is responsible for investigating suspected abuse, neglect, and exploitation of vulnerable adults.

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Correct Answer is B

Explanation

A: Assistive feeding devices may help, but they do not directly address the risk of aspiration. Improving swallowing mechanics is more immediately beneficial.

B: The tucked-chin position helps protect the airway by improving swallowing coordination and reducing the risk of aspiration during meals. It is a simple technique that can significantly help clients with swallowing difficulties.

C: Lying down can increase the risk of aspiration by allowing food to enter the airway more easily.

D: Supplemental liquid feedings may be necessary for some ALS patients, but addressing the client’s swallowing technique during meals should take priority to prevent aspiration.

A. Identify effective pain relief measures. B. Observe body language and movement. C. Provide a numeric pain scale. D. Ask the client to describe the pain.

Correct Answer is D

Explanation

A: Identifying effective pain relief measures is important but comes after determining the pain's characteristics. Without knowing the pain's quality, choosing the best pain relief strategy is challenging.

B: Observing body language and movement is valuable, but it does not provide specific details about the type of pain the client is experiencing.

C: A numeric pain scale measures the intensity of pain but does not assess the quality, which is important in cancer-related pain management.

D: Asking the client to describe the pain provides essential information about the quality (sharp, dull, throbbing, burning) and nature of the pain, allowing the nurse to better tailor pain management strategies.

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Exhibits New data is reviewed. Choose the most likely options for the information missing from the statements by selecting from the lists of options provided. This client is exhibiting signs of dropdown. The nurse is a mandated reporter and therefore must report the elder mistreatment todropdown.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The home health nurse makes a home visit to a client with amyotrophic lateral sclerosis (ALS). The client is sitting upright while feeding themself and coughs frequently during the meal. Which action should the nurse implement?

Correct Answer is B

Explanation

A client with metastatic bone cancer is requesting pain medication. Which approach should the nurse use to assess the quality of the client's pain?

Correct Answer is D

Explanation

A client with renal calculi is experiencing hematuria and reports severe flank pain. Which intervention should the nurse implement first?

During an admission assessment, a client reports currently using heroin. Which information is most important for the nurse to consider in the plan of care?

Exhibits The nurse is stabilizing the client and preparing her for surgery. What goal(s) should the nurse prioritize in the care plan for the client while in the emergency department? Select all that apply.

The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired movements will worsen as the child grows. Which response provides the best explanation?

Exhibits Review H and P, nurse's notes, laboratory values, flow sheet, and prescriptions. Drag from the Word Choices to complete the sentence. The client demonstrates effective epidural anesthesia by dropdown, dropdown, and dropdown.

An adult is admitted with acute flank pain, a 102° F (38.9° C) oral temperature, hematuria, dysuria, urgency, and fishy-smelling urine. Which admitting prescription(s) are most important for the nurse to implement? Select all that apply.

The nurse has received funding to design a health promotion project for African-American women who are at risk for developing breast cancer. Which resource is most important in designing this program?