Patient Data

Exhibits

The nurse is precepting a new graduate nurse and explains the placement of a face mask on the client.

Mark whether the statements by the new graduate nurse indicates understanding or no understanding of the use of the face mask in the care of this client. Each row must have one option selected.

A. Drink between 8 to 10 cups (1.9 to 2.4 liters) of fluids daily: Staying well-hydrated is important for overall health and can help manage blood sugar levels. Adequate fluid intake also supports kidney function and helps flush excess glucose from the body.

B. Avoid foods high in refined sugars: Foods high in refined sugars can cause rapid spikes in blood glucose levels. Avoiding these foods helps maintain better blood sugar control and prevents hyperglycemia.

C. Eliminate the bedtime snack if heartburn develops after eating: While avoiding bedtime snacks may help with heartburn, it is essential to manage blood sugar levels effectively. A bedtime snack may be necessary for maintaining stable glucose levels overnight, and alternatives or adjustments should be considered.

D. Increase the percentage of protein in the diet if anemia develops: While protein is important, increasing it solely to address anemia may not be the best approach. Anemia requires a balanced diet with adequate iron and other nutrients. Specific dietary recommendations should be tailored based on comprehensive assessment and guidance from a healthcare provider.

E. Choose complex carbohydrates that are high in fiber content: Complex carbohydrates, especially those high in fiber, are digested more slowly and have a more gradual effect on blood sugar levels. Fiber helps with glucose control and provides sustained energy.

A. Report findings to Adult Protective Services: Reporting to Adult Protective Services (APS) is essential when elder mistreatment is suspected. APS can investigate the situation further and take appropriate action to ensure the safety and well-being of the elder.

B. Perform a thorough physical assessment: Conducting a thorough physical assessment helps to identify any signs of abuse or neglect, such as pressure injuries, poor hygiene, or physical injuries. It provides necessary information to support the suspicion of mistreatment.

C. Confront the abuser about concerning actions: Confronting the abuser directly can be dangerous for the client and may interfere with the investigation. It is best to report concerns to appropriate authorities who can handle the situation professionally.

D. Develop a safety plan: Developing a safety plan is crucial to protect the client from immediate harm. This plan includes steps to ensure the client’s safety and well-being while further actions are being taken.

E. Question the client in front of the suspected abuser: Questioning the client in front of the suspected abuser could put the client at further risk of harm. It is important to ensure the client’s safety and privacy when gathering information.

F. Take photographs to document the abuse or neglect: Documenting findings through photographs can provide evidence of abuse or neglect, which is important for reporting and investigation purposes. This documentation should be done with caution and respect for privacy.

G. Throw away soiled clothing: Disposing of soiled clothing does not address the underlying issue of mistreatment and may destroy potential evidence. Soiled clothing should be documented and handled appropriately.

H. Complete a comprehensive history: Completing a comprehensive history helps to gather detailed information about the client’s living conditions, care needs, and any changes in their behavior or condition that might indicate mistreatment.