A nurse is caring for an older adult client who states, "I can't pay for my care because my kid took all my money." Which of the following actions should the nurse take?

Instruct the client to report the theft to the police.

Report the possible abuse to adult protective services.

Ask the client if there is another family member they can call for financial help.

Restrict visitation for the client's family until discharge.

Answer and Explanation

The Correct Answer is B

A.   Instruct the client to report the theft to the police: While reporting theft to the police may be necessary, the immediate concern is the safety and well-being of the client, especially if financial exploitation or abuse is suspected.
B.   Report the possible abuse to adult protective services: Suspected financial exploitation or abuse of an older adult should be reported to the appropriate authorities, such as adult protective services, for investigation and intervention.
C.   Ask the client if there is another family member they can call for financial help: While involving other family members may be appropriate in some situations, suspected abuse or exploitation requires intervention from trained professionals.
D.   Restrict visitation for the client's family until discharge: Restricting visitation should only be done if there is a clear risk to the client's safety, and it should not be the first action taken in response to suspected abuse.

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Correct Answer is C

Explanation

A. Massaging areas around the edge of the cast with lotion can introduce moisture, which may weaken the cast and increase the risk of skin breakdown or infection. It's important to avoid
introducing foreign substances under the cast.

B. Elevating the extremity when the client is resting in bed is important for reducing swelling and promoting circulation. However, this action is unrelated to addressing itching under the cast.
C. Giving the client a dull object to scratch the skin under the cast can provide relief from itching without compromising the integrity of the cast or increasing the risk of infection.
D. Numbness in the toes is not an expected sensation related to wearing a cast and should be reported to the healthcare provider as it could indicate compromised circulation or nerve damage.

A. "I can continue to smoke while using nicotine patches." B. "I should join a support group to help me be successful." C. "Nicotine replacement therapy can cause cancer." D. "Varenicline could make me addicted to nicotine."

Correct Answer is B

Explanation

A. Incorrect. Nicotine patches are intended to help individuals quit smoking by providing a controlled dose of nicotine without the harmful chemicals found in cigarettes. Continuing to smoke while using nicotine patches can increase the risk of nicotine toxicity and is not recommended.
B. Correct. Joining a support group is a beneficial strategy for smoking cessation as it provides social support, encouragement, and accountability, which can increase the likelihood of success.
C. Incorrect. Nicotine replacement therapy, including patches, gum, and lozenges, does not cause cancer. It helps individuals quit smoking by reducing withdrawal symptoms and cravings associated with nicotine dependence.
D. Incorrect. Varenicline (Chantix) is a medication used to help people quit smoking by reducing withdrawal symptoms and blocking the effects of nicotine. It does not make individuals addicted to nicotine; rather, it helps them overcome nicotine addiction.

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A nurse is caring for an older adult client who states, "I can't pay for my care because my kid took all my money." Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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