Mrs. Violet is a 75-year-old woman living with her niece. Mrs. Violet comes to the adult day care center 3 days a week. The LPN notices that Mrs. Violet eats ravenously at breakfast and lunch. In conversation, Mrs
Violet says that she only eats at the center, not at home. The nurse must
a. Report the niece to authorities for elder abuse
b. Set aside quiet time with Mrs. Violet for a more detailed conversation
c. Not worry; frequently, older adults have a decreased appetite
d. Call the niece and confront her about Mrs. Violet's issue
B
Although it is your responsibility to report any suspected case of elder abuse, gather your data first. Using your nursing assessment skills, bring Mrs. Violet to a quiet location with few distractions not for an interrogation, but for gentle information gathering. Ask open-ended questions about her diet at home, what she likes, and the kinds of foods her niece and other family members prepare for her. After this conversation, if you believe that meals are being deliberately withheld, you must report your findings.
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After obtaining a full set of vital signs, the nurse assesses the client's fifth vital sign as a 7 on a scale of 1 to 10 (or 7/10). Which action by the nurse is most appropriate?
a. Document the pulse pressure as normal and continue the client's assessment. b. Review the client's records to determine the last time he received pain medication. c. Assess the client's pulse on the opposite side for comparison. d. Wait 2 minutes and retake the client's blood pressure.
A nurse is providing teaching for a nondiabetic adult who develops growth hormone deficiency and who will begin treatment with somatropin [Humatrope]. Which statement by the patient in-dicates understanding of the teaching?
a. "Intramuscular dosing is more effective than subcutaneous dosing." b. "I will have increased muscle mass and strength as well as increased height." c. "I will need to monitor my blood pressure frequently while taking this drug." d. "I will need to take insulin while using this, because it causes hyperglycemia."
The nursing instructor is presenting students with the theories that seek to explain interpersonal violence. According to the interpersonal theories, most rapists: Select all that apply
A) Do not have normal interpersonal involvements. B) Use extreme force and viciousness. C) Are preoccupied with their own fantasies. D) Practice brutality, and at times torture to stimulate their sexual excitement. E) Use coercion and deception to lure the victim to consent.
The nurse uses a blood pressure cuff that is too small for the circumference of the client's arm. How will this size of blood pressure cuff affect the client's blood pressure measurement?
1. Falsely low 2. Falsely high 3. Not clearly heard 4. More time consuming