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The nurse recognizes that findings consistent with elder mistreatment.

Short term memory loss.

Malnutrition.

Bilateral leg edema.

Diminished breath sound.

Dark room lighting.

Poor hygiene.

Pressure injuries.

Answer and Explanation

Correct Answer : B,E,F,G

Choice A rationale

Short-term memory loss is not typically associated with elder mistreatment. It may result from normal aging, neurological conditions like Alzheimer's disease, or other medical issues affecting cognitive function. It does not directly indicate mistreatment.

Choice B rationale

Malnutrition in the elderly can be a sign of neglect or mistreatment, where the individual may not receive adequate nutrition due to inadequate caregiving or intentional withholding of food. It can lead to severe health complications and indicates a lack of proper care.

Choice C rationale

Bilateral leg edema can result from various medical conditions, such as heart failure, chronic venous insufficiency, or renal disease. It is not a specific indicator of elder mistreatment and requires a thorough medical evaluation to determine the underlying cause.

Choice D rationale

Diminished breath sounds are typically related to respiratory conditions, such as pneumonia, chronic obstructive pulmonary disease (COPD), or pleural effusion. While they require medical attention, they do not directly indicate elder mistreatment.

Choice E rationale

Dark room lighting can suggest poor living conditions and inadequate care, potentially indicating neglect or mistreatment. Proper lighting is essential for the safety and well-being of elderly individuals, and its absence may reflect a lack of proper care and attention.

Choice F rationale

Poor hygiene is a common sign of neglect in elder mistreatment cases. It indicates that the individual may not receive assistance with personal care, leading to physical and emotional distress. Neglecting hygiene needs can result in infections and other health issues.

Choice G rationale

Pressure injuries, or bedsores, are often a result of prolonged immobility and inadequate repositioning, which can occur in cases of elder mistreatment or neglect. These injuries can lead to severe complications and are indicative of a lack of proper care and attention to the individual's needs.

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Correct Answer is ["A","C","D"]

Explanation

The correct answers are Choices A, C, and D.

Choice A rationale: Encouraging the client to increase physical activity and engage with peers is appropriate as it helps prevent deconditioning, improves cardiovascular health, and promotes mental well-being. Physical activity can also improve muscle strength, mobility, and overall quality of life.

Choice B rationale: Suggesting the client remain in bed to avoid unnecessary exertion is incorrect. Prolonged bed rest can lead to muscle atrophy, pressure injuries, and decreased cardiovascular function. The client should be encouraged to mobilize as tolerated to maintain functional abilities.

Choice C rationale: Teaching the caregiver how to monitor for signs of infection in pressure injuries is crucial because the client has stage II pressure injuries that need careful monitoring and management to prevent complications such as infection. Education on signs of infection, proper wound care, and prevention strategies is essential.

Choice D rationale: Assisting the client in using the restroom to avoid incontinence is appropriate as it respects the client's preference for toileting, reduces the risk of skin breakdown, and promotes dignity. Helping the client maintain continence and proper hygiene is important for comfort and overall health.

A. Cup of raspberries. B. Bowl of oatmeal. C. Scrambled eggs. D. Bacon slices. E. Raisin bran muffins.

Correct Answer is ["A","B","E"]

Explanation

Choice A rationale

Raspberries are an excellent source of dietary fiber, with approximately 8 grams of fiber per cup. They are rich in both soluble and insoluble fibers, which help promote healthy digestion and bowel regularity. The high fiber content in raspberries can help prevent and alleviate constipation, which is particularly beneficial for individuals with hemorrhoids.

Choice B rationale

Oatmeal is another high-fiber food, providing about 4 grams of fiber per cup. It contains a type of soluble fiber called beta-glucan, which forms a gel-like substance in the intestines, helping to soften stool and improve bowel movements. Including oatmeal in the diet can help reduce the discomfort associated with hemorrhoids.

Choice C rationale

Scrambled eggs are a good source of protein but are low in dietary fiber. They do not contribute to increasing the fiber intake needed to alleviate hemorrhoid symptoms. Although they can be part of a balanced diet, they are not specifically beneficial for a high-fiber diet.

Choice D rationale

Bacon slices are high in fat and low in fiber. Consuming high-fat foods can lead to constipation, which can worsen hemorrhoid symptoms. Bacon does not provide the necessary fiber to promote healthy digestion and bowel movements.

Choice E rationale

Raisin bran muffins are a high-fiber food option, with both the bran and raisins contributing to their fiber content. Bran is rich in insoluble fiber, which adds bulk to the stool and helps prevent constipation. Raisins also contain fiber, making raisin bran muffins a suitable choice for individuals with hemorrhoids.

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The nurse recognizes that findings consistent with elder mistreatment.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","C","D"]

Explanation

A client with hemorrhoids asks for information about a high fiber diet. Which breakfast menu item(s) should the nurse suggest? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

The nurse recognizes that findings consistent with elder mistreatment.

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