Patient Data
The nurse suspects elder mistreatment.
Click to indicate if the listed manifestation of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.
Bruises in various stages of healing
Over-sedation
Depression or withdrawn behavior
Leaving an older adult in a public space
Untreated pressure injuries
Poor personal hygiene
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"}}
Bruises in various stages of healing: This often indicates physical abuse, as it suggests trauma or injury from external force.
Over-sedation: This could be indicative of physical abuse if it is intentional or misuse of medications.
Depression or withdrawn behavior: These can be signs of neglect, as they may result from a lack of emotional support or social interaction.
Leaving an older adult in a public space: This is a clear indicator of abandonment, as it shows neglect of the individual's safety and well-being.
Untreated pressure injuries: These are signs of neglect, reflecting a failure to provide adequate care and prevent injuries.
Poor personal hygiene: Often a result of neglect, indicating a lack of attention to the individual's basic needs and self-care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["121"]
Explanation
To calculate the dosage of gentamicin for a client who weighs 160 pounds, first convert the weight to kilograms, knowing that 1 kilogram equals 2.2 pounds. The client's weight in kilograms is approximately 72.73 kg (160 ÷ 2.2).
The prescription is for 5 mg/kg/day, so the total daily dosage is 363.65 mg (72.73 kg × 5 mg). Since the medication is to be divided into doses every 8 hours, divide the total daily dosage by 3, because there are three 8-hour intervals in 24 hours.
Therefore, each dose should be approximately 121.22 mg. 121 mg rounded off to the nearest whole number.
Correct Answer is ["D"]
Explanation
A. A bounding radial pulse does not specifically indicate the patency of an AV fistula; it is a general assessment of peripheral pulse quality.
B. Distended veins in the hand may indicate venous congestion but are not a reliable indicator of fistula patency.
C. A "thrill" is a vibratory sensation felt over the fistula. It is caused by the turbulent blood flow moving from the high-pressure artery into the lower-pressure vein. However, this choice is wrong since a thrill should be palpated and not auscultated.
D. The presence of a bruit (a whooshing sound) over the AV fistula indicates the flow of blood through the fistula, confirming patency.
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