Patient Data

Exhibits

Which are the 3 most important goals that would help the nurse evaluate the treatment of this client at discharge?

The client will be afebrile for 24 hours

The client will have quit smoking

The client will report pain less than 3 on a pain scale of 0 to 10.

The client will remain free of skin breakdown

The client will maintain oxygen saturation of 96% without supplemental oxygen

Answer and Explanation

Correct Answer : A,B,E

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Correct Answer is ["B","C","E","F"]

Explanation

A. Peripheral pallor is not a typical pain indicator.

B. Restlessness can be a sign of discomfort or pain in infants.

C. Increased respiratory rate can indicate pain or distress.

D. Increased temperature is more indicative of infection than pain.

E. Clenched fists can be a sign of pain or discomfort in infants.

F. Increased pulse rate is a common physiological response to pain.

A. Report findings to Adult Protective Services. B. Perform a thorough physical assessment. C. Confront the abuser about concerning actions. D. Develop a safety plan. E. Question the client in front of the suspected abuser. F. Take photographs to document the abuse or neglect. G. Throw away soiled clothing. H. Complete a comprehensive history.

Correct Answer is ["A","B","D","F","H"]

Explanation

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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Patient Data Exhibits Which are the 3 most important goals that would help the nurse evaluate the treatment of this client at discharge?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","C","E","F"]

Explanation

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

Correct Answer is ["A","B","D","F","H"]

Explanation

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Patient Data

Exhibits

Which are the 3 most important goals that would help the nurse evaluate the treatment of this client at discharge?