The nurse is caring for an older patient who has been the victim of elder abuse by an adult son. According to the transgenerational violence theory of elder mistreatment, which situation would have occurred with the patient?
1. The son is an alcoholic.
2. The care of the patient has overwhelmed the son.
3. The patient was abusive to the son when he was a child.
4. As a child, the son witnessed the father beating the mother.
3
Rationale: The son being an alcohol is an example of the psychopathology theory for abuse.
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The nurse is attempting to examine the client's ear with an otoscope. Because of impacted cerumen, the tympanic membrane cannot be visualized
The nurse irrigates the client's ear with a solution of hydrogen peroxide and water to remove the impacted cerumen. What nursing intervention is most important in order to minimize nausea and vertigo during the procedure? A) Maintain the irrigation fluid at 98 degrees Fahrenheit. B) Instill no more than 30 mL of fluid each time the syringe is inserted into the ear canal. C) Follow the procedure with insertion of a cerumen curette to extract missed ear wax. D) Aim the stream of irrigation fluid directly at the impacted cerumen.
The nurse assessing a 65-year-old client who is scheduled for outpatient surgery for cataracts in 10 days will stress the:
1. need for adequate insurance. 2. provision of adequate postoperative care at home. 3. need to acquire specialized glasses. 4. need to preserve and protect his vision.
A child is admitted with extensive burns. The nurse notes burns on the child's lips and singed nasal hairs. The nurse should suspect what condition in the child?
a. A chemical burn b. A hot-water scald c. An electrical burn d. An inhalation injury
A patient has a deficiency of an enzyme that prepares a specific drug for elimination. When planning care for this patient, the nurse remains alert for which response or issue?
a. Toxic blood levels of the drug are more likely to occur. b. Higher drug dosages will be needed for the intended action to occur. c. The drug will be eliminated more rapidly in the feces rather than in the urine. d. Delivery of this drug by the parenteral route is more effective than by the enteral route.