A nurse is visiting a client in the home setting after discharge from the hospital for treatment of multiple area skin infections and cellulitis. Which behavior does the nurse document as a dangerous sign that the client is hoarding?

An untidy house and yard

A single path throughout the yard and house

A complaint from the neighbors about the cats

A collection of magazines scattered in the living room

Answer and Explanation

The Correct Answer is B

Choice A reason: An untidy house and yard may indicate poor organization or neglect but is not specific to hoarding. It could result from various factors, such as depression or physical limitations, and does not inherently pose a dangerous safety risk associated with hoarding behaviors.

Choice B reason: A single path through the yard and house indicates severe accumulation of items, characteristic of hoarding disorder. This creates significant safety hazards, such as fire risks, tripping hazards, or blocked exits, which can impede emergency access and pose immediate dangers to the client’s well-being.

Choice C reason: Neighbor complaints about cats may suggest pet hoarding, a subtype of hoarding disorder. However, without evidence of excessive clutter or unsafe living conditions, this alone is less indicative of dangerous hoarding compared to physical obstructions like a single path through the home.

Choice D reason: A collection of scattered magazines may suggest early hoarding tendencies but does not necessarily indicate a dangerous level of hoarding. It lacks the severity of safety risks, such as blocked pathways or fire hazards, associated with a single path through the home.

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Correct Answer is ["1.44"]

Explanation

Step 1: Calculate the total units to be given per hour: 18 × 90 = 1620 units/hour Result = 1620 units/hour

Step 2: Determine the concentration of Heparin in 1 mL: 25000 ÷ 250 = 100 units/mL Result = 100 units/mL

Step 3: Calculate the required volume in mL/hr using total units per hour: (1620 ÷ 100) = 16.2 mL/hr Result = 16.2 mL/hr

Final answer 16.2 mL/hr

Question 47

Calculate the initial bolus of Heparin. Heparin is ordered as 80 units/kg. The client weighs 90 kg. How many mL would you administer using a vial of Heparin labeled Heparin 5000 units/mL?

The correct answer is 1.44 mL

Explanation:

Step 1: Calculate the total number of units required for the bolus: 80 × 90 = 7200 units Result = 7200 units

Step 2: Use the vial concentration to find out how many mL deliver 7200 units: (7200 ÷ 5000) = 1.44 mL Result = 1.44 mL

Final answer 1.44 mL

A. The client spends time resting in their room after meals. B. The client verbalizes knowledge of former eating patterns. C. The client can identify calorie content for each meal. D. The client exhibits healthy ways of coping with emotions.

Correct Answer is D

Explanation

Choice A reason: Resting after meals may suggest the client is avoiding purging, a positive step in bulimia recovery. However, it does not address the underlying emotional triggers driving binge-purge cycles. Without developing healthier coping mechanisms, resting alone is insufficient to indicate significant progress in managing the disorder.

Choice B reason: Verbalizing knowledge of past eating patterns shows insight into bulimia nervosa but does not necessarily indicate behavioral change. Understanding patterns is a preliminary step, but without implementing healthier coping strategies, it does not demonstrate active progress in altering the binge-purge cycle or emotional regulation.

Choice C reason: Identifying calorie content reflects awareness of food intake, which may be part of nutritional education in bulimia treatment. However, this knowledge alone does not address the emotional or behavioral components of the disorder, such as binge-purge triggers, making it less indicative of positive progress.

Choice D reason: Bulimia nervosa is often driven by emotional distress, with binge-purge behaviors as maladaptive coping mechanisms. Exhibiting healthy ways to cope with emotions, such as through therapy or stress management techniques, directly addresses the root cause, reducing reliance on disordered eating and indicating significant progress in recovery.

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A nurse is visiting a client in the home setting after discharge from the hospital for treatment of multiple area skin infections and cellulitis. Which behavior does the nurse document as a dangerous sign that the client is hoarding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Calculate the initial rate for a Heparin infusion. The infusion is ordered as 18 units/kg/hr. The client weighs 90 kg. The concentration of the Heparin bag is 25,000 units/250 mL. You are administering the Heparin drip via an electronic infusion device. Calculate the infusion rate in mL/hr.

Correct Answer is ["1.44"]

Explanation

The nurse is evaluating the progress of a client with bulimia. Which behavior would indicate that the client is making positive progress?

Correct Answer is D

Explanation

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