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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A. Mononucleosis typically presents with fever, sore throat, and lymphadenopathy, but it is not associated with a rash on the palms and soles.

B. Toxic shock syndrome typically involves fever, hypotension, and multi-organ failure, with a rash that involves the palms and soles, but it is often linked to tampon use or wound infections.

C. Herpes simplex virus does not typically cause this type of rash and would not present with a sore throat and fever in this pattern.

D. The presence of fever, sore throat, and a rash on the hands, palms, and soles of the feet is characteristic of secondary syphilis, which can occur a few weeks to months after the initial infection.

A. Withhold next scheduled dose of low molecular weight heparin. B. Monitor the client's current white blood cell count (WBC). C. Confirm that the continuous passive motion device is intact. D. Determine if the wound drainage device is functioning correctly.

Correct Answer is D

Explanation

A. Withholding the next dose of low molecular weight heparin is not indicated unless there is active bleeding.

B. Monitoring the white blood cell count is not the immediate priority in this situation. Wound drainage is more relevant.

C. The continuous passive motion device is used for promoting mobility, but it is not related to the issue of excessive drainage.

D. Saturated dressing with serosanguineous drainage after surgery can be normal initially, but ensuring the wound drainage device is functioning correctly is crucial to prevent complications like hematoma or excessive swelling.

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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

A female client presents to the clinic with a fever and sore throat as well as a rash on the hands, palms, and the soles of the feet. The client reports having intercourse once with a new partner approximately 8 weeks ago. Which condition should the nurse suspect?

Correct Answer is D

Explanation

The nurse assesses a client who had bilateral total knee replacements (TKR) four hours ago. The nurse notes that the dressing on the client's right knee is saturated with serosanguineous drainage. Which action should the nurse implement?

Correct Answer is D

Explanation

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.

A female client is taking alendronate, a bisphosphonate, for postmenopausal osteoporosis. The client tells the nurse that she is experiencing jaw pain. How should the nurse respond?

A client with pancreatitis reports severe epigastric pain, so the nurse administers a prescribed narcotic analgesic Ten minutes later, the client insists on sitting up and leaning forward. Which intervention should the nurse implement?

Exhibits Click to indicate which client goal is being met by each of the client data. Each column must have at least one response selected.

The nurse is preparing to administer an ampicillin suspension labeled, "Ampicillin 250 mg/5 mL," to a child with impetigo. The prescription: is for 500 mg four times a day. How many mL should the child receive per day? (Enter numeric value only.)

Exhibits

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