Patient Data

Exhibits

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Depression or withdrawn behavior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

Answer and Explanation

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Depression or withdrawn behavior: These can be signs of neglect, as they may result from a lack of emotional support or social interaction.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

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is []

Explanation

The client has a history of chronic obstructive pulmonary disease (COPD) and is experiencing episodes of more forceful coughing. This history increases the risk of aspiration, especially when taking oral medications. Aspiration can occur if the medication is not swallowed properly, leading to potential respiratory complications.

Assess swallowing ability: Given the client’s COPD and increased coughing, assessing the swallowing ability is crucial before administering oral medications to ensure that the client can safely swallow the medication and reduce the risk of aspiration.

Place in Fowler’s position: Placing the client in Fowler’s position (or semi-Fowler's position) promotes proper swallowing and decreases the risk of aspiration. It also helps improve respiratory function and comfort in clients with COPD.

Increased coughing or choking after administration: Monitoring for increased coughing or choking after taking the medication can help identify early signs of aspiration and allow for prompt intervention to prevent respiratory complications.

Level of consciousness: Monitoring the level of consciousness is important as changes in consciousness can affect the client’s ability to swallow properly and increase the risk of aspiration. It helps ensure the client remains alert and responsive.

A. Ear pain and fever. B. Positive Epstein-Barr, and malaise. C. Increased BUN and serum creatinine. D. Elevated WBC and sedimentation rate.

Correct Answer is B

Explanation

A. Ear pain and fever are not characteristic symptoms of mononucleosis.

B. Mononucleosis is often associated with a positive Epstein-Barr virus (EBV) test and symptoms of malaise, fatigue, and lymphadenopathy.

C. Increased BUN and serum creatinine indicate kidney function issues, which are not typically associated with mononucleosis.

D. While elevated WBC and sedimentation rate can occur, they are nonspecific and can be seen in many conditions; they are not defining symptoms of mononucleosis.

View Question and Answer

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Patient Data Exhibits 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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patient Data Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Correct Answer is []

Explanation

The nurse caring for a child with mononucleosis can expect the child to exhibit which symptoms?

Correct Answer is B

Explanation

The nurse is providing dietary education to a client in end stage kidney failure who requires dialysis three times a week. Which information is important for the nurse to include about the client's daily diet?

An unresponsive victim of a diving accident is brought to the emergency department where it is determined that immediate surgery is required to save the client's life. The client is accompanied by a close friend, but no family members are available. Which action should the nurse take first?

The nurse is assessing a 3-month-old client who had a pyloromyotomy yesterday. This child should be medicated for pain based on which finding(s)? Select all that apply.

A client receives a prescription for 1 L of lactated Ringer's IV to be infused over 12 hours. The IV administration set delivers 15 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

Following laser trabeculoplasty surgery for open-angle glaucoma, the client reports acute pain deep within the eye. Which action should the nurse take?

Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID 19. Which action is most important for the nurse to take?

Patient Data

Exhibits

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.