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","D"]

Explanation

A. Diphenhydramine is unnecessary for diagnosing pyelonephritis.
B. Urine culture confirms bacterial infection and guides antibiotic therapy.
C. Forcing fluids may help but is not the priority over antibiotics and cultures.
D. Broad-spectrum IV antibiotics are critical to treat systemic infection.
E. Hemoglobin and hematocrit are not priority tests for pyelonephritis.

A. Client is able to ambulate to the bathroom safely to void. B. Bowel sounds are present in all four quadrants and abdomen is soft. C. Vital signs within normal limits and blood pressure of 142/94 mm Hg. D. Pain rating of 5 on a 0 to 10 scale and taking oral analgesics every 4 hours. E. Oral medications, including analgesics, are tolerated without vomiting.

Correct Answer is ["A","B","E"]

Explanation

A. The ability to ambulate safely to the bathroom is a key indicator that the client can manage daily activities independently after discharge.
B. Normal bowel sounds and a soft abdomen indicate that there are no complications related to digestion, which is important for discharge readiness.
C. While the blood pressure of 142/94 mm Hg is elevated, it is not an immediate contraindication to discharge but should be monitored.
D. A pain rating of 5 may be acceptable depending on the client’s baseline, but if pain is not well controlled, discharge may need to be reconsidered.
E. Tolerance of oral medications is essential to ensure the client can continue managing pain at home without complications.

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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.

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Naxlex Comprehensive Predictor Exams

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.

Correct Answer is ["B","D"]

Explanation

A client who fell and broke a wrist is admitted for 24 hour observation after emergency orthopedic surgery. The healthcare provider prescribes discharge in the morning. Which finding(s) should the nurse use to evaluate the client's status for discharge from the hospital? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

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?

Exhibits The nurse is concerned about the client's temperature. Which interventions can the nurse use to address the client's temperature? Select all that apply.

Which instruction should the nurse provide to a client who is preparing to have a cystoscopy?

An older client with osteoarthritis reports increasing pain and stiffness in the right knee and asks how to reduce these symptoms. In responding to the client, the nurse recognizes which pathology as the cause of the symptoms?

A client with deep vein thrombosis (DVT) is receiving a continuous heparin IV infusion. The client now has tarry, black diarrhea and reports abdominal pain. Which actions should the nurse implement? Select all that apply.

The friend of a nurse who works in an acute care hospital asks the nurse to review the adult daughter's electronic medical record (EMR) to determine if she is honestly disclosing her medical condition. The nurse's reply should include which information? Select all that apply.

The nurse is performing tracheostomy care for a client when a code blue is called for another client on the unit who experiences a cardiopulmonary arrest. Which action should the nurse take?