An emergency room nurse is caring for an older patient brought in by a neighbor. The neighbor states that the patient lives with a son who "drinks a lot." What does the nurse assess that suggests elder neglect? Select all that apply.
1. Thick, yellow fingernails
2. Dry, cracked lips and tongue
3. Pressure ulcer on the sacrum
4. Small skin tears to the right elbow
5. Cracked, dry skin on the lower legs bilaterally
2. Dry, cracked lips and tongue
3. Pressure ulcer on the sacrum
Explanation: 1. Thick, yellow fingernails could be an expected finding in an older patient and not indicative of neglect.
2. Common signs and symptoms of neglect include dehydration, which would be manifested as dry, cracked lips and tongue.
3. A pressure ulcer on the sacrum is a manifestation of caregiver neglect.
4. Small skin tears to the right elbow do not necessarily indicate caregiver neglect and could have occurred during routine activities in the home.
5. Cracked dry skin on both lower legs does not necessarily indicate caregiver neglect. This could be an expected finding in an older patient.
You might also like to view...
The nurse is performing a physical assessment of patient who is undergoing a bone marrow biopsy. What finding by the nurse indicates the patient is experiencing stress?
a. Blood pressure of 120/84 b. Temperature of 37.5 ° C c. Heart rate of 110 beats/min d. Respiratory rate of 10 breaths/min
The nurse manager identified that the census was higher than anticipated and the client acuity level was also high; however, there were fewer nursing hours paid. This variance is an example of which budgetary variance?
1. Efficiency 2. Nonsalary expenditure 3. Rate 4. Volume
A nurse is discussing generic and trade drugs with a client. The client wants to know why it takes so long for trade drugs to become available in the generic form, which are generally cheaper. What is the nurse's best response?
1. It takes 17 years for all pharmaceutical companies to develop a generic version of the drug. 2. It will take 17 years of clinical trials to approve the drug. 3. Sole ownership of a drug allows the pharmaceutical company to earn back the money spent to develop the drug. 4. Animal testing must continue for 10 years, then 7 years of human clinical trials, for a drug to be approved.
With which of the following populations would collaboration be most important when a school nurse proposes that additional healthy options be added to the school lunch program?
a. The staff and teachers b. The children and their parents c. The dietitians and nutritionists d. The school board and administration