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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Recommending that family return may not be feasible or realistic for the client.
B. A case management evaluation can help assess the home environment and identify potential resources or support services, such as home health care, that can assist the client with caregiving duties.
C. Respite care facilities may not be the best solution if the client's husband does not require extended care, and home-based support could be more appropriate.
D. Hiring a private nurse could be expensive and may not be necessary if other resources are available through case management or home health services.
Correct Answer is D
Explanation
A. Petroleum jelly should not be used around the nose of a toddler receiving oxygen due to the risk of aspiration and the potential for oxygen to ignite the jelly.
B. Topical lidocaine is not appropriate for cracked lips, as it can cause numbness and possibly interfere with the child's ability to protect their airway.
C. Asking the mother is a good communication approach, but the nurse should also take immediate action to address the dryness using an appropriate lubricant.
D. Use a water-soluble lubricant on affected oral and nasal mucosa is the most appropriate intervention, as petroleum jelly can be harmful if inhaled, and a water-soluble lubricant is safer for use in the nasal and oral areas, especially in young children.
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