A son brings his elderly mother to the emergency department and states that she fell today. The nurse notes multiple bruises in all stages of healing all over the client’s body. Which action should the nurse take first?.

Provide an elder abuse brochure and teach the client.

Interview the client privately and ask if anyone is harming her.

Observe the interaction between the mother and the son throughout stay.

Report the abuse without confirming

Answer and Explanation

The Correct Answer is B

Interview the client privately and ask if anyone is harming her.

This is because the nurse has a duty to assess the client for possible elder abuse and report any suspicions to the appropriate authorities.

The nurse should not assume that the son is the abuser or that the client will disclose the abuse without being asked directly.

The nurse should also respect the client’s autonomy and privacy and not confront the son or provide an elder abuse brochure without the client’s consent.

Choice A is wrong because it may imply that the client is responsible for preventing the abuse or that the nurse has already made a judgment about the situation.

It may also be ineffective if the client is unable or unwilling to read the brochure or seek help. Choice C is wrong because it may delay the assessment and intervention for the client.

It may also be biased and unfair to observe the son without interviewing him or the client first.

Choice D is wrong because it may violate the client’s rights and preferences.

It may also be premature to report the abuse without confirming it with the client or obtaining more evidence.

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Correct Answer is B

Explanation

This meal selection best demonstrates a client with osteoporosis understands dietary recommendations because it provides adequate amounts of calcium, vitamin D, and protein, which are essential nutrients for bone health.

Choice A is wrong because chicken, carrots, and fresh grapefruit salad do not provide enough calcium or vitamin D for a person with osteoporosis.

Calcium is mainly found in dairy products, leafy green vegetables, and fish with bones. Vitamin D is mainly found in fatty fish, egg yolks, and fortified foods.

Choice C is wrong because green salad, ground beef patty, corn, and applesauce do not provide enough calcium or vitamin D for a person with osteoporosis.

Green salad may contain some calcium depending on the type of greens, but it is not a rich source.

Ground beef patty and corn are low in calcium and vitamin

D. Applesauce does not contain any calcium or vitamin

D. Choice D is wrong because plain omelet, bacon, toast with butter, and strawberries do not provide enough calcium or vitamin D for a person with osteoporosis.

Plain omelet and bacon are high in protein but low in calcium and vitamin

Toast with butter may contain some vitamin D if the bread or butter are fortified, but it is not a rich source.

Strawberries do not contain any calcium or vitamin

A. 10 mL. B. 5 mL. C. 15 ml. D. 30 ml.

Correct Answer is D

Explanation

This is because the prescribed dose is 1 tablespoon, which is equivalent to 15 ml. Therefore, to get the amount of milliliters for each dose, you need to multiply 15 ml by 2, which gives you 30 ml.

Choice A is wrong because 10 ml is less than 1 tablespoon.

Choice B is wrong because 5 ml is equal to 1 teaspoon, which is one-third of a tablespoon.

Choice C is wrong because 15 ml is equal to 1 tablespoon, which is half of the prescribed dose.

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A son brings his elderly mother to the emergency department and states that she fell today. The nurse notes multiple bruises in all stages of healing all over the client’s body. Which action should the nurse take first?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which meal selection best demonstrates a client with osteoporosis understands dietary recommendations?

Correct Answer is B

Explanation

A health care provider prescribes guaifenesin with dextromethorphan 1 tablespoon every 6 hours for a client who has a nonproductive cough. How many milliliters should a nurse administer for each dose?

Correct Answer is D

Explanation

A nurse should include which statement when instructing a client about Transcranial Magnetic Stimulation (TMS).

Which is an important need for a widowed client during the grieving period following the death of the client’s spouse?

A nurse is teaching a group of middle age adults about various types of hepatitis. What statement by one of the group members indicates correct understanding of the differences?

The nurse is assessing a client experiencing acute pain. What assessments should validate the client with acute pain? Select all that apply.

A client with osteoarthritis of the hips and knees has received instructions on how to use a walker for ambulation. Which behavior observed by the nurse indicates the client understands the instructions?

Which client assessment should a nurse immediately report to the health care provider?

Which assessment finding would be considered normal in an elderly client?

A nurse is getting a client out of bed to ambulate for the first time. The client is pale, diaphoretic, has a pulse of 100/minute, and says, “I feel weak. Let me sit on the side of the bed for a minute.” What finding should the nurse document?