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Exhibits

Which intervention(s) should the nurse initiate if elder mistreatment is suspected? Select all that apply.

Report findings to Adult Protective Services.

Perform a thorough physical assessment.

Confront the abuser about concerning actions.

Develop a safety plan.

Question the client in front of the suspected abuser.

Take photographs to document the abuse or neglect.

Throw away soiled clothing.

Complete a comprehensive history.

Answer and Explanation

Correct Answer : A,B,D,F,H

A. Report findings to Adult Protective Services: Reporting to Adult Protective Services (APS) is essential when elder mistreatment is suspected. APS can investigate the situation further and take appropriate action to ensure the safety and well-being of the elder.
B. Perform a thorough physical assessment: Conducting a thorough physical assessment helps to identify any signs of abuse or neglect, such as pressure injuries, poor hygiene, or physical injuries. It provides necessary information to support the suspicion of mistreatment.
C. Confront the abuser about concerning actions: Confronting the abuser directly can be dangerous for the client and may interfere with the investigation. It is best to report concerns to appropriate authorities who can handle the situation professionally.
D. Develop a safety plan: Developing a safety plan is crucial to protect the client from immediate harm. This plan includes steps to ensure the client’s safety and well-being while further actions are being taken.
E. Question the client in front of the suspected abuser: Questioning the client in front of the suspected abuser could put the client at further risk of harm. It is important to ensure the client’s safety and privacy when gathering information.
F. Take photographs to document the abuse or neglect: Documenting findings through photographs can provide evidence of abuse or neglect, which is important for reporting and investigation purposes. This documentation should be done with caution and respect for privacy.
G. Throw away soiled clothing: Disposing of soiled clothing does not address the underlying issue of mistreatment and may destroy potential evidence. Soiled clothing should be documented and handled appropriately.
H. Complete a comprehensive history: Completing a comprehensive history helps to gather detailed information about the client’s living conditions, care needs, and any changes in their behavior or condition that might indicate mistreatment.

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Correct Answer is A

Explanation

A. An older adult female client with cancer whose children are trying to decide whether to change to palliative care measures or continue disease control. This situation involves complex decision-making and requires the expertise of an RN to provide emotional support, facilitate family discussions, and address ethical considerations, all of which fall within the RN’s scope of practice.

B. A young adult client experiencing fatigue from radiation treatments is stable and can typically be managed by a PN, who can help monitor and address routine symptoms.

C. A middle-aged male client with a benign tumor who is recovering from an excisional biopsy is stable and likely requires minimal nursing care, which a PN can handle.

D. An adult client in remission receiving iron injections is stable and requires routine nursing care, which a PN can provide effectively.

A. Watery diarrhea. B. Nausea and headache. C. Increased fatigue. D. Yellow-tinged sputum.

Correct Answer is A

Explanation

A. Watery diarrhea is a potential sign of Clostridium difficile (C. diff) infection, a serious and common complication associated with antibiotics like linezolid.

B. Nausea and headache are side effects but are less urgent than symptoms suggesting C. diff.

C. Increased fatigue is non-specific and may be related to the infection or the medication, but it is not as immediately concerning as diarrhea.

D. Yellow-tinged sputum is typical of pneumonia and does not indicate an urgent issue related to linezolid therapy.

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Exhibits Which intervention(s) should the nurse initiate if elder mistreatment is suspected? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client should the charge nurse on the oncology unit assign to a registered nurse (RN), rather than a practical nurse (PN)?

Correct Answer is A

Explanation

In caring for a client who is receiving linezolid IV for nosocomial pneumonia, which assessment finding is most important for the nurse to report to the healthcare provider?

Correct Answer is A

Explanation

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Exhibits Select from statement options to complete the sentence. To assess outcomes, the nurse should consider information reported by the client and caregiver and focus on evaluating the client's dropdown and dropdown.

Exhibits

Which intervention(s) should the nurse initiate if elder mistreatment is suspected? Select all that apply.