A neighbor notices an 81-year-old getting water from someone's outside faucet. The neighbor notices that this person's ankles are very swollen and there is an open wound on her left leg
The older adult says, "I stopped taking my pills because the water department turned off my water and I can't use the bathroom. My daughter did not pay the water bill, and she never has time to take me to the doctor so my legs can be checked." The neighbor calls adult protective services. Which of the following interventions is the priority when the nurse visits for an evaluation and does not find any immediate danger?
A) The competency of the older adult in making decisions needs to be determined.
B) The daughter needs to be picked up by the police on a neglect charge.
C) The older adult needs to be involuntarily committed to a long-term care facility.
D) An involuntary legal intervention needs to be initiated immediately.
Ans: A
Because the older adult is not in immediate danger, the first step is to determine her competency and the ability to make decisions for herself.
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The Emergency Food Assistance Program supplements the dietary intake of low-income households by distributing basic commodities and
a. providing education on preparation of low-cost foods. b. reducing government-held surplus dairy commodities. c. distributing excess commodities to devel-oping nations. d. providing specific nutrient-dense foods for young children and older adults.
During childbirth education, a woman should be advised that she may have a sudden gush of fluid from the vagina as she approaches her expected delivery date. Which statement best explains this event?
a. The fluid, often called bloody show, is caused by the expulsion of a protective mucous plug from the cervix. b. This loss of fluid is usually related to overexertion during the sudden burst of energy that often occurs shortly before labor begins. c. Rupture of amniotic membranes allows the amniotic fluid to flow from the uterus through the vagina. d. The passage of fluid eliminates excess water in preparation for the process of labor.
The provider has ordered amoxicillin with clavulanate (Augmentin) for a child who has otitis media. The child's parent asks why this drug is necessary when amoxicillin is less expensive
The nurse will explain that clavulanate is added to amoxicillin because it a. binds with albumin to increase the amount of available amoxicillin. b. broadens the spectrum of amoxicillin by inhibiting bacterial enzymes. c. inhibits hepatic blood flow, leading to increased serum drug levels of amoxicillin. d. inhibits the excretion of amoxicillin by interfering with renal function.
Crepitation is an audible sound that is produced by:
A. roughened articular surfaces moving over each other. B. tendons or ligaments that slip over bones during motion. C. joints that are stretched when placed in hyperflexion or hyperextension. D. an inflamed bursa.