A 92-year-old patient who lives alone comes to an appointment with a new neighbor. She reports that she just bought the neighbor a new car so that the neighbor would be more comfortable bringing the patient to appointments
The nurse suspects financial abuse. What should the nurse do?
1. Tell the neighbor that you are watching her.
2. Tell the patient to stop relying on the neighbor.
3. Tell the patient to move to a skilled nursing facility
4. Tell the state's protective agency the nurse suspects financial abuse.
Answer: 4
Explanation: The nurse has both an ethical and a legal obligation to ensure that older adults are safe from abuse and neglect and must follow the reporting procedures outlined by state regulations. Talking to the suspected abuser may expose the patient to more harm, since the nurse does not actually have the power to prevent further abuse. Telling the vulnerable patient to stop being dependent is unrealistic. The patient has not evidenced the need for skilled nursing care.
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While conducting an assessment of a patient, the nurse recognizes that the initial step is:
a. a body systems review. b. the nursing health history. c. biographical data. d. the present illness.
Which one of the following nursing actions is especially important for an SGA newborn?
a. Observe for respiratory distress syndrome. b. Observe for and prevent dehydration. c. Promote bonding. d. Prevent hypoglycemia with early and frequent feedings.
A client had an open cholecystectomy with a T-tube insertion, and the nurse is measuring the bile drainage every 8 hours. When should the nurse notify the physician?
A) If more than 500 mL of bile drainage is present in 24 hours. B) If the bile drainage is dark green. C) If there is 100 mL in the drainage pouch after 8 hours. D) If there is 10 mL/hour of drainage in 24 hours.
Why are convenience samples used so frequently in nursing research? (Select all that apply.)
a. More subjects consent if they can understand the sampling method. b. Obtaining a true random sample may be impossible. c. There is low risk of sampling bias. d. There are limited subjects available. e. Nonrandom sampling affects only generalizability, not study integrity.