A home health nurse is caring for a group of older adult clients. Which of the following statements by a client is an indication they may be experiencing social isolation?

"I am not able to walk for very long so I ride the stationary exercise bike at the gym."

"I enjoy having lunch with my grandchildren every other Sunday."

"I have a few friends over for coffee a couple of times a week."

"I have a lot of arthritis pain, so I only leave my house to get the mail."

Answer and Explanation

The Correct Answer is D

A.   Although this client may have physical limitations, they are still engaging in social activities by going to the gym, indicating less likelihood of social isolation.
B.   This client has regular social interactions with family members, suggesting they are not socially isolated.
C.   Regular social gatherings with friends indicate social engagement and are not indicative of social isolation.
D.   Restricting activities outside the home to only essential tasks like getting the mail due to pain or other reasons can indicate social isolation and limited social interactions.

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Correct Answer is A

Explanation

A. This action prevents recontamination of the hands after handwashing, which is an essential component of maintaining medical asepsis.
B. It is recommended to allow alcohol-based hand rub to dry completely before engaging in patient care to ensure effectiveness.

C. While handwashing with soap and water is appropriate, cold water may not be as effective as warm water for removing contaminants.
D. Alcohol-based hand rubs are not sufficient for cleaning visibly soiled hands; soap and water are required in such cases.

A. Pupils that are 8 to 9 mm in diameter B. Eyelids that blink involuntarily 30 to 35 times per minute C. Eyelashes that curl slightly outward. D. Corneas with an opaque appearance

Correct Answer is C

Explanation

A. Pupil size can vary but is typically around 3 to 5 mm in diameter under normal conditions.
B. The normal rate of involuntary blinking (spontaneous blinking) is approximately 15 to 20 times per minute.
C. Outwardly curling eyelashes are a normal anatomical variation and do not indicate any pathology.

D. Corneas should appear clear and transparent under normal conditions. Opacity of the cornea can indicate various eye disorders.

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A home health nurse is caring for a group of older adult clients. Which of the following statements by a client is an indication they may be experiencing social isolation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is observing a newly licensed nurse care for a client who is at increased risk for infection. Which of the following actions indicate the newly licensed nurse is following recommended medical asepsis practices?

Correct Answer is A

Explanation

A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A nurse is administering multiple types of ophthalmic drops to a client. Which of the following actions should the nurse take?

A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?

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A nurse is caring for a client who has recently retired from their job. The client states they feel like they no longer have a purpose. Which of the following responses should the nurse make?

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