Which patients seen by a nurse working in the emergency department identify a situation that suggests a case of elder mistreatment?
1. A 77-year-old patient who fell at home
2. A 73-year-old patient found to be anemic after vomiting blood
3. An 86-year-old patient who has three dime-size burned areas on the upper inner thigh
4. An 85-year-old patient who has several small areas of bruising on the back of the hands
3. An 86-year-old patient who has three dime-size burned areas on the upper inner thigh
Explanation: 1. A patient with a broken bone that is consistent with an injury event and seeks medical attention promptly is not generally suspect for elder abuse.
2. The patient with active bleeding would be expected to have anemia.
3. The patient who has skin burns suggestive of cigarette burns in an area normally covered by clothing is suggestive of abuse.
4. Bruising is common in elderly patients, especially those taking medication that affects the blood, who have thin skin and is especially common in the hands, which is an area that is easily bumped.
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