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Depression or withdrawn behavior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Depression or withdrawn behavior: These can be signs of neglect, as they may result from a lack of emotional support or social interaction.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 ["A","B","C","E"]

Explanation

A. Falls can lead to head injuries or subdural hematomas, which can cause confusion in older adults. It is important to assess for recent trauma as a possible cause of the confusion.

B. An elevated temperature can indicate an infection, such as a urinary tract infection (UTI) or pneumonia, which are common causes of acute confusion in older adults.

C. Pain with urination is a symptom of a UTI, which can lead to confusion, especially in elderly patients with Parkinson's disease.

D. While maintaining adequate nutrition is important, increasing protein intake does not directly address the sudden onset of confusion.

E. New medications or allergic reactions can lead to confusion. A medication interaction or an allergic reaction to a new food could be a contributing factor.

A. Peripheral pallor of the skin. B. Restlessness. C. Increased respiratory rate. D. Increased temperature. E. Clenched fists. F. F Increased pulse rate.

Correct Answer is ["B","C","E","F"]

Explanation

A. Peripheral pallor is not a typical pain indicator.

B. Restlessness can be a sign of discomfort or pain in infants.

C. Increased respiratory rate can indicate pain or distress.

D. Increased temperature is more indicative of infection than pain.

E. Clenched fists can be a sign of pain or discomfort in infants.

F. Increased pulse rate is a common physiological response to pain.

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

The adult child of an older adult client who has Parkinson's disease, calls the clinic and reports that the client has been confused for the past week. What action(s) should the nurse take? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

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.

Correct Answer is ["B","C","E","F"]

Explanation

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?

A client with a history of inflammatory bowel disease develops severe ulcerative colitis and is admitted to the intensive care unit after surgery for a fistula repair. Which intervention is most important for the nurse to include in the plan of care?

Exhibits The nurse is considering the possible etiology of the client's symptoms. Click to indicate if the listed assessment findings are consistent with benign prostate hyperplasia, urinary tract infections, or prostatitis. Each column must have at least one response option selected.

A client with deep vein thrombosis (DVT) is receiving a continuous intravenous heparin infusion. The client now has tarry, black diarrhea and reports abdominal pain. Which actions should the nurse implement? Select all that apply.

The nurse is preparing a community outreach program on primary disease prevention. Which topic should the nurse plan to include in this event?

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.