An 80-year-old is seen in the emergency department for a fall. The client has bruises on the upper arms and appears depressed. The client is accompanied by a grandchild, who is unkempt, glassy-eyed, and whose breath smells of alcohol
Which of the following should be a priority with the nurse?
A) Assess whether the older adult is safe in the home environment.
B) Determine whether legal interventions are appropriate.
C) Assess the client's degree of frailty and chronic health problems.
D) Determine the mental capacity of the older adult.
Ans: A
The first priority should be to see whether the older adult is safe and then determine his competency. Legal intervention can be pursued after safety and competency are determined. The degree of frailty and chronic health problems is assessed with safety issues and determination of competency.
You might also like to view...
The nurse is preparing a teaching plan for a woman receiving a subarachnoid block before delivery. What nursing action will be included in this plan to prevent the associated side effect of this type of anesthesia?
a. Restrict oral fluids. b. Keep legs flexed. c. Walk with assistance as soon as possible. d. Lie flat for several hours.
The nurse interviews a female patient during admission. Which observation by the nurse identifies congruency in the patient's communication?
a. Asserts she is eager to answer questions while reading a magazine b. States that she wants information while frequently changing the subject c. Asks the nurse to explain a surgical pro-cedure while listening intently d. Explains that she is relaxed while conti-nuously shifting in her chair
Solvents are mixtures of two or more different chemicals
Indicate whether the statement is true or false
Janice has elevated LDL, VLDL, and triglyceride levels. Niaspan, an extended-release form of niacin, is chosen to treat her hyperlipidemia. Due to its metabolism and excretion, which of the following laboratory results should be monitored?
1. Serum alanine aminotransferase 2. Serum amylase 3. Serum creatinine 4. Phenylketonuria