Exhibits
New data is reviewed.
Choose the most likely options for the information missing from the statements by selecting from the lists of options provided.
This client is exhibiting signs of
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
Neglect is the most appropriate option because the client’s inability to access the restroom independently and lack of adequate personal care, as indicated by poor hygiene, tangled hair, matted nails, and untreated wounds, are signs of neglect. Additionally, the client is being kept bedridden against her will, which points to a lack of adequate care and respect for her autonomy, further supporting neglect.
Adult Protective Services (APS) is the proper agency to contact when there are concerns about elder neglect or abuse. APS is responsible for investigating suspected abuse, neglect, and exploitation of vulnerable adults.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A: Assistive feeding devices may help, but they do not directly address the risk of aspiration. Improving swallowing mechanics is more immediately beneficial.
B: The tucked-chin position helps protect the airway by improving swallowing coordination and reducing the risk of aspiration during meals. It is a simple technique that can significantly help clients with swallowing difficulties.
C: Lying down can increase the risk of aspiration by allowing food to enter the airway more easily.
D: Supplemental liquid feedings may be necessary for some ALS patients, but addressing the client’s swallowing technique during meals should take priority to prevent aspiration.
Correct Answer is C
Explanation
A. Never automatically repeat digoxin if vomiting occurs. Infants are at high risk for digoxin toxicity. A repeat dose could result in overdose.
B. Administer a half dose now: A full dose is generally required, not a half dose, in this situation.
C. The dose should not be repeated. The nurse should instruct the mother to withhold the dose and monitor the infant for further vomiting, poor feeding, or bradycardia—all signs of possible digoxin toxicity. The provider should be notified for further guidance.
D. Mix the next dose with food: Digoxin should be given as prescribed, and mixing it with food is not a recommended practice.
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