Patient Data
The nurse suspects elder mistreatment.
Click to indicate if the listed manifestation of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.
Bruises in various stages of healing
Over-sedation
Depression or withdrawn behavior
Leaving an older adult in a public space
Untreated pressure injuries
Poor personal hygiene
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"}}
Bruises in various stages of healing: This often indicates physical abuse, as it suggests trauma or injury from external force.
Over-sedation: This could be indicative of physical abuse if it is intentional or misuse of medications.
Depression or withdrawn behavior: These can be signs of neglect, as they may result from a lack of emotional support or social interaction.
Leaving an older adult in a public space: This is a clear indicator of abandonment, as it shows neglect of the individual's safety and well-being.
Untreated pressure injuries: These are signs of neglect, reflecting a failure to provide adequate care and prevent injuries.
Poor personal hygiene: Often a result of neglect, indicating a lack of attention to the individual's basic needs and self-care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Standard precautions are important, but VRE requires contact precautions due to its highly transmissible nature. A mask is not specifically required unless there are respiratory symptoms.
B. Contact precautions are essential for preventing the spread of VRE and should be instituted for staff and visitors.
C. A low bacteria diet is not necessary for VRE infections; it is more relevant for immunocompromised patients.
D. Monitoring the white blood cell count helps assess the infection's progression and the body's response.
E. Sending wound drainage for culture and sensitivity is crucial for identifying the specific pathogen and determining appropriate antibiotic treatment.
Correct Answer is ["B","E"]
Explanation
A. Acetaminophen 650 mg PO every 6 hours for temperature greater than 101.0° F (38.3° C): While managing fever is important, it is not as immediate a priority as ensuring the client's breathing and hydration.
B. Start a peripheral IV: Establishing a peripheral IV line is crucial for administering medications and fluids. This is essential for the client's hydration and potential intravenous medication needs.
C. Chest x-ray: Although a chest x-ray is important for diagnosing the cause of the symptoms, it can be done after the client’s immediate needs for oxygen and IV access are addressed.
D. NPO: Keeping the client NPO is necessary, but it doesn't require immediate action compared to oxygenation and IV access.
E. Start oxygen 3 L/minute via nasal cannula: The client is experiencing difficulty breathing, so providing supplemental oxygen is a priority to ensure adequate oxygenation and alleviate respiratory distress.
F. Sputum culture: Obtaining a sputum culture is important for diagnosis, but it can wait until after the client is stabilized with oxygen and IV access.
G. Place the client on a cardiorespiratory monitor: Monitoring the client's cardiac and respiratory status is important, but ensuring oxygenation and IV access takes precedence.
H. Run 0.9% sodium chloride IV infusion at 150 mL/hour: While starting the IV infusion is important, it follows the establishment of the IV line and oxygen administration.
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