An older client who lives with a caregiver is admitted to an emergency department with a fractured arm. The client is soaked in urine and has dried fecal matter on lower extremities. The client is 6 feet tall and weighs 120 pounds. Which condition would the nurse suspect?

Abuse and/or neglect

Caregiver role strain

Inability of the client to meet self-care needs

Alzheimer's disease

Answer and Explanation

The Correct Answer is A

A. Abuse and/or neglect is the most likely concern in this situation. The fact that the client has a fractured arm, is soaked in urine, and has dried fecal matter on their lower extremities suggests neglect. The client's physical appearance and hygiene issues point to a lack of appropriate care or supervision. This requires further investigation to ensure the safety of the client.
B. Caregiver role strain can lead to stress and burnout, but it doesn't necessarily explain the physical neglect, including the broken arm and unsanitary condition. This could still be a contributing factor but is not the most likely primary concern.
C. Inability of the client to meet self-care needs could contribute to hygiene issues, but it does not explain the fracture and the overall neglect of care. Inadequate self-care ability might occur with conditions like dementia, but the neglect aspect points more to external factors.
D. Alzheimer's disease may cause cognitive decline and difficulty with self-care, but it doesn't directly explain the neglect or lack of proper hygiene or injury care. It’s more likely a factor in a situation of neglect, rather than the sole cause.

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Free Nursing Study Resources

Correct Answer is ["A","B","E"]

Explanation

A. Lung cancer is more common in males, particularly due to higher smoking rates historically, although both men and women are at risk.
B. Melanoma of the skin is more common in males, especially in older age groups. While it is important for both genders to protect their skin, men tend to develop more aggressive forms of melanoma.
C. Thyroid cancer is actually more common in women than men, though men are more likely to die from it.
D. Breast cancer is far less common in males than in females, though men can develop it, the incidence is much lower.
E. Colorectal cancer is more common in males than females, with men being at a higher risk overall.

A. Recent use of antibiotics B. Prolonged rehabilitation unit stay C. Current intensive care unit stay D. Recent surgical procedure

Correct Answer is A

Explanation

A. Recent use of antibiotics is the greatest risk factor for developing C. difficile infection. Antibiotics disrupt the normal gut flora, allowing C. difficile to overgrow and produce toxins that cause severe diarrhea and colitis.
B. Prolonged rehabilitation stays can increase exposure to hospital-acquired infections but are not as strongly associated with C. difficile as antibiotic use.
C. Staying in the ICU can increase the risk for various infections, but it’s the antibiotic use commonly associated with ICU care that elevates C. difficile risk—not the ICU stay itself.
D. Recent surgery may raise infection risk in general, but it is not as specifically linked to C. difficile as antibiotic therapy is.

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An older client who lives with a caregiver is admitted to an emergency department with a fractured arm. The client is soaked in urine and has dried fecal matter on lower extremities. The client is 6 feet tall and weighs 120 pounds. Which condition would the nurse suspect?

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Correct Answer is ["A","B","E"]

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Correct Answer is A

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