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The home health practical nurse (PN) suspects elder abuse after observing fresh lacerations on the arms and leg of an older male client who lives with his daughter. Which action is most important for the PN to take?

A.

Report findings to supervisor for referral to adult protective services.

B.

Ask the daughter who has been taking care of client on a daily basis.

C.

Apply dry dressings after cleansing the wounds.

D.

Document the lacerations in the client's record.

Answer and Explanation

The Correct Answer is A

A. Report findings to supervisor for referral to APS: Mandatory reporting protects client safety.
B. Ask daughter who has been caring for client: May alert potential abuser and place client at further risk.
C. Apply dry dressings after cleansing wounds: Necessary, but safety and reporting take precedence.
D. Document the lacerations: Must be done, but immediate action is reporting.


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Related Questions

Correct Answer is D

Explanation

A. Inform the manager that the facility will have to assume responsibility for incidents related to staffing: This is confrontational and does not address immediate care needs.
B. Refuse to take charge and go home rather than risk working in an unsafe situation: Abandoning patients is unethical and could have legal consequences.
C. Assign some tasks usually performed by the additional PN to the UAP who is normally on the wing: UAPs cannot legally take on PN duties; this is unsafe.
D. Prioritize assessment of safety issues in addition to administration of daily medication: When short-staffed, prioritize safety and essential tasks to ensure client well-being.

Correct Answer is ["40"]

Explanation

Insulin dose calculation

  • NPH insulin = 25 units (scheduled).
  • Sliding scale for 271 mg/dL = 15 units.
  • Total dose = 25 + 15 = 40 units.

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