An older patient is recovering from surgery to repair a fractured hip. What interventions will the nurse use to prevent the development of a pressure ulcer in this patient? Standard Text: Select all that apply.
1. Avoid sitting unless for meals.
2. Use pillows to protect the skin.
3. Reposition the patient every 2 hours.
4. Keep the skin dry with frequent bathing.
5. Encourage independent position changes.
Question 2A nurse is caring for a client who has been the victim of elder abuse by her son. According to the situational
violence theory of elder mistreatment, which of the situations would have occurred?
A) The care of the client has overwhelmed son.
B) The client was abusive to her son when he was a child.
C) The son is an alcoholic.
D) The son witnessed his father beating his mother while he was a child.
Question 3The home care nurse notes that an older patient who lives alone has a large red mark on the arm. When asked about the mark the patient states unawareness of the injury and believes it occurred from hot water when cooking.
How should the nurse interpret this finding? 1. The patient is at risk for further injury.
2. The patient is losing short-term memory.
3. The patient is experiencing friction tears of the skin.
4. The patient is demonstrating senile purpura of the skin.
Question 4An emergency room nurse is caring for an elderly client brought in by a neighbor. The neighbor states that the client lives with her son who drinks a lot. While assessing her client, which of these symptoms would suggest elder neglect?
A) Cracked dry skin on the lower legs bilaterally
B) Small category 1 skin tear to the right elbow
C) Thick, yellow fingernails
D) Dry, cracked lips and tongue
Question 5A home health care nurse has asked an older client's caregiver to complete a questionnaire regarding caregiver strain.
The caregiver states, You are here to see my mom, why do you need information about me? Which is the most appropriate response by the nurse?
A) We need information about how you are dealing with caring for your mother. We don't want you to become overwhelmed.
B) We need to make sure you don't abuse your mother.
C) We fill this paperwork for all caregivers.
D) It's just something that the insurance companies make us fill out.
Question 6An older patient is recovering from abdominal surgery. Which skin changes will the nurse consider when planning care for this patient?
1. The healing time is increased.
2. The healing time is decreased.
3. There is a need to keep the wound edges taped.
4. Skin near the wound needs to be massaged to increase blood flow.
Question 7A nurse is caring for a client who has been the victim of elder abuse by her son. According to the transgenerational violence theory of elder mistreatment, which of the situations would have occurred?
A) The care of the client has overwhelmed the son.
B) The client was abusive to her son when he was a child.
C) The son is an alcoholic.
D) The son witnessed his father beating his mother while he was a child.
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