A home care nurse is at her elderly client's home. The client is confined to bed and is cared for by her daughter. The daughter is known to suffer from chemical dependence
The home is cluttered and infested with roaches. The nurse notices the client is wet with urine and has dried feces on her buttocks. She appears dehydrated. The nurse cleans her, changes the sheets, and calls to have her transported to the hospital. The nurse also reports the incident to the Division of Aging. This is an example of which ethical framework?
A) Justice
B) Beneficence
C) Nonmaleficence
D) Fidelity
Ans: C
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The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is considered abnormal?
a. Decrease in tear production b. Unequal pupillary constriction in response to light c. Presence of arcus senilis observed around the cornea d. Loss of the outer hair on the eyebrows attributable to a decrease in hair follicles
The nurse is preparing to administer intravenous fluids to a patient diagnosed with hyperphosphatemia. Which of the following solutions would be the most beneficial for this patient?
1. 5% dextrose and water 2. 0.9% normal saline 3. Lactated Ringer's solute 4. 5% dextrose and 0.25% normal saline
During severe stress, such as major burns over large areas of the body, protein needs may increase to as high as _____ g/kg body weight
a. 1.2 b. 1.5 c. 2.0 d. 2.5
What are the signs that a patient is in the adaptive stage of the general adaptation syndrome?
a. He or she begins to experience elevated heart and respiratory rates. b. He or she finds it difficult to concentrate on a solution for the stress. c. The patient perceives his or her only options are to run away or fight back. d. The patient has exceeded his or her ability to cope with the current situation