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. Instructing the client to report the theft to the police might be appropriate in cases of theft, but the nurse's primary responsibility is to ensure the safety and well-being of the client. Reporting
to the authorities can be pursued after ensuring the client's immediate safety.

B.   Reporting the possible abuse to adult protective services is the appropriate action when financial exploitation or abuse is suspected. Adult protective services can investigate the situation and provide support and resources to ensure the client's safety.
C.   Asking the client if there is another family member they can call for financial help is a valid consideration, but it does not address the potential abuse or exploitation of the client's finances.
D.   Restricting visitation for the client's family until discharge is not appropriate without further assessment and intervention. It may also isolate the client from potential sources of support and assistance.

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Correct Answer is B

Explanation

A. "You should follow the label directions based on your child's weight." While dosing according to weight is a common practice for many medications, it's essential to emphasize the importance of avoiding aspirin in children due to the risk of Reye's syndrome, a rare but serious condition associated with aspirin use in viral illnesses.
B. "You should avoid administering aspirin to your child." This response is correct because the use of aspirin in children, especially during viral infections, can increase the risk of Reye's syndrome, a severe condition that affects the brain and liver.
C. "Your child will require an antibiotic if she develops a fever." Antibiotics are not typically

indicated for fever unless the fever is caused by a bacterial infection. It's important to address the parent's question about managing fever specifically.
D. "Your child can have two baby aspirins every 4 hours." This response is incorrect and potentially harmful. Aspirin should not be given to children due to the risk of Reye's syndrome.

A. Keep initial pressure dressing in place for 1 week after surgery. B. Leave the prosthesis in place when going to bed. C. Avoid extension of the hips when lying down. D. Clean the prosthesis using a damp, soapy cloth.

Correct Answer is D

Explanation

Answer: D. "Clean the prosthesis using a damp, soapy cloth."

Rationale:

A. "Keep initial pressure dressing in place for 1 week after surgery":
The pressure dressing is typically changed more frequently to monitor the incision site for signs of infection and to ensure appropriate healing. Keeping it in place for a week without monitoring could increase the risk of infection and complications.

B. "Leave the prosthesis in place when going to bed":
It is generally recommended to remove the prosthesis at night to allow the residual limb to rest and prevent skin irritation or pressure sores. Leaving it on overnight can lead to unnecessary strain on the limb.

C. "Avoid extension of the hips when lying down":
Clients should actually avoid prolonged hip flexion, not extension, as it can lead to hip contractures. Instead, they should try to lie prone periodically to stretch the hip and reduce the risk of contracture formation.

D. "Clean the prosthesis using a damp, soapy cloth":
Using a damp, soapy cloth to clean the prosthesis helps maintain hygiene and prevents skin irritation. It's important to keep the prosthesis clean to avoid any buildup of bacteria or dirt, which can affect both the device and the residual limb’s health.

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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?

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Naxlex Comprehensive Predictor Exams

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