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 A

Explanation

A. An elevated serum calcium level (hypercalcemia) can indicate a complication of total parenteral nutrition, such as hypercalcemia resulting from excess calcium supplementation in the
TPN solution, which can lead to complications such as renal calculi and cardiac dysrhythmias.
B. The blood urea nitrogen (BUN) level within the normal range does not indicate a complication related to total parenteral nutrition.
C. The serum potassium level within the normal range does not indicate a complication related to total parenteral nutrition.
D. A normal white blood cell (WBC) count does not indicate a complication related to total parenteral nutrition.

A. Coordinating client care B. Providing direct client care C. Assessing a client's health status D. Identifying specific client health problems E. Identifying specific client health problems

Correct Answer is B

Explanation

A. Coordinating client care is typically a responsibility of registered nurses (RNs) who have advanced training and education in care coordination and management.
B. Providing direct client care, under the supervision of registered nurses or physicians, is a primary responsibility of licensed practical nurses (LPNs). This may include administering medications, assisting with activities of daily living, and monitoring clients' vital signs.
C. Assessing a client's health status is within the scope of practice of both registered nurses and licensed practical nurses, but LPNs typically perform more focused assessments compared to
RNs.
D. Identifying specific client health problems often involves critical thinking and clinical judgment, which are skills typically developed through higher levels of education and experience. While LPNs may identify issues during routine care, diagnosing health problems is generally the responsibility of the healthcare provider.

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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

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