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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Correct Answer is B

Explanation

A. Delirium due to cardiac medications is a possibility, but the patient’s history of cerebrovascular accident (CVA) makes vascular neurocognitive disorder more likely. Delirium typically presents acutely and is often associated with medical or environmental triggers.
B. Vascular neurocognitive disorder (formerly vascular dementia) is often seen in clients with a history of cerebrovascular accidents (strokes). The client’s symptoms of memory problems, confusion, and disorientation could indicate this type of cognitive impairment, which is caused by reduced blood flow to the brain due to vascular damage.
C. Neurocognitive disorder due to Huntington's disease typically presents with movement disorders (chorea), mood changes, and gradual cognitive decline, rather than sudden memory loss and disorientation.
D. Alzheimer’s disease typically presents with gradual memory decline and cognitive impairment, but the sudden onset of symptoms in a patient with a history of CVA makes vascular neurocognitive disorder more probable.

A. very Old B. Aged C. Older D. Elderly

Correct Answer is A

Explanation

A. Very old (sometimes referred to as the "oldest-old") typically includes individuals 85 years and older, according to classifications used by the U.S. Census Bureau and gerontological studies. A 92-year-old falls into this category.
B. Aged is a general term and not an official classification. It may be used broadly but doesn't specifically apply to the 85+ group.
C. Older is a nonspecific term often used to describe those over 65 but is not a distinct age category like “very old.”
D. Elderly is another broad, non-specific term and is often used interchangeably with “older adults,” but does not denote a specific age group such as the "very old" classification.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of cerebrovascular accident is brought to an emergency department experiencing memory problems, confusion, and disorientation. Based on this client's assessment data, on which medical diagnosis would the nurse focus the plan of care?

Correct Answer is B

Explanation

A nurse reads in a client chart that the client is 92 years old. According to the US. Census Bureau, the nurse knows that the client is classified as what stage of older adulthood?

Correct Answer is A

Explanation

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