Patient Data

Exhibits

The nurse reviews the findings in the history and physical.

Drag from Word Choices to complete the sentence.

The nurse recognizes that
dropdown
,
dropdown
, and
dropdown
are findings consistent with elder mistreatment.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A","dropdown-group-3":"C"}

Pressure injuries: These can indicate neglect or inadequate care, as they often develop from prolonged periods of immobility or poor hygiene.

Poor hygiene: A foul odor and unclean environment, along with a lack of clothing, can be signs of neglect or mistreatment.

Malnutrition: The client's low weight (98 lb or 44.5 kg) and a lack of appropriate nutrition could indicate inadequate care and potential mistreatment, contributing to overall poor health and well-being.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A. While impaired comfort is a concern, the priority is to address potential neurovascular compromise.

B. Impaired skin integrity is a concern but not the most immediate issue given the symptoms described.

C. Risk for infection is important but secondary to the acute concern of neurovascular function.

D. Risk for peripheral neurovascular dysfunction is the highest priority as it indicates potential compartment syndrome or other serious complications requiring urgent intervention.

A. Assist the spouse and carefully give the client small sips of water. B. Give the spouse a straw to help facilitate the client's drinking. C. Obtain thickening powder before providing any more fluids. D. Ask the spouse to stop and assess the client's swallowing reflex.

Correct Answer is D

Explanation

A. Assisting with giving sips of water could pose a choking risk if the client's swallowing ability is impaired.

B. Using a straw could increase the risk of aspiration for a client with swallowing difficulties.

C. Obtaining thickening powder might be necessary, but first the nurse must assess the client's ability to swallow safely.

D. Assessing the client's swallowing reflex is the priority to ensure safe swallowing and prevent aspiration.

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Patient Data Exhibits The nurse reviews the findings in the history and physical. Drag from Word Choices to complete the sentence. The nurse recognizes that dropdown, dropdown, and dropdownare findings consistent with elder mistreatment.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Twelve hours after experiencing a traumatic closed fracture of the lower left tibia, a client reports pain, tingling, and diminished toe movement in the left foot. Which nursing problem has the highest priority based on this information?

Correct Answer is D

Explanation

Correct Answer is D

Explanation

The nurse is admitting a client from the postanesthesia unit to the postoperative surgical care unit. Which prescription should the nurse implement first?

An older adult client is brought to the clinic for Increased confusion over the past three days and presents with a draining wound on the right leg. Which assessment is most important for the nurse to obtain?

The school nurse is preparing a teaching pamphlet in response to requests from parents regarding an outbreak of pinworms at the local preschool. Which information about the most commonly prescribed medication, mebendazole, should be included?

The nurse is caring for a client with type 1 diabetes mellitus who reports experiencing diaphoresis and shakiness in the early morning hours. The nurse should expect which change in the client's treatment plan?

Patient Data Exhibits The client asks the diabetic nurse educator to clarify what the Registered Dietician told her about the content and timing of her meals. Which 3 responses should the diabetic nurse educator provide?

The psychiatric nurse is talking to a newly admitted client when another male client, who is diagnosed with antisocial behavior, intrudes on the conversation and tells the nurse, "I have to talk to you right now! It is very important!" How should the nurse respond to this client?

Patient Data

Exhibits

The nurse reviews the findings in the history and physical.

Drag from Word Choices to complete the sentence.

The nurse recognizes that
dropdown
,
dropdown
, and
dropdown
are findings consistent with elder mistreatment.