An elderly patient is admitted to the emergency department for treatment of an acute urinary tract infection with possible sepsis. During the admission examination, the nurse notices multiple ecchymoses of varying ages over both ulnar edges
The patient denies falling and seems reluctant to answer any questions about the ecchymoses. The patient's daughter states that the patient falls down often, and she appears impatient with her mother. The patient's gait and balance are normal, and the patient is oriented and otherwise cooperative. What is the best nursing action?
A) Obtain x-rays of the forearms.
B) Evaluate serum electrolyte values.
C) Report the situation to protective services.
D) Apply a vest restraint to the patient.
C
You might also like to view...
A client being treated with chemotherapy for cancer complains of fatigue, pallor, progressive weakness, exertional dyspnea, headache, and tachycardia. Which diagnosis should the nurse use as the priority when planning this client's care?
A) Powerlessness B) Imbalanced Nutrition, Less than Body Requirements C) Activity Intolerance D) Ineffective Coping
A new nurse has just taken his state board exams and passed, but he has not yet found a job. He also married the month after graduation, and his new wife just announced that she is pregnant. He has recently been experiencing sleep disturbances,
difficulty concentrating, and irritability. The nurse at the clinic suspects which disorder? 1. Obsessive-compulsive disorder 2. Generalized anxiety disorder 3. Adjustment disorder 4. Reactive attachment disorder
Allopurinol (Zyloprim) has been ordered for a patient receiving treatment for gout. The nurse caring for this patient would know that what laboratory finding would indicate bone marrow suppression in this patient?
A) Hyperuricemia B) Increased erythrocyte sedimentation rate C) Elevated serum creatinine D) Decreased platelets
The third-leading cause of birth defects in the United States is
1. Cigarette smoking 2. Fetal alcohol syndrome 3. Marijuana use 4. HIV from sharing needles