Author Question: An older adult client is brought into the emergency department (ED) for a recent fall. The nurse ... (Read 111 times)

abarnes · **on:** Jun 25, 2018

An older adult client is brought into the emergency department (ED) for a recent fall. The nurse suspects elder abuse. Which are clinical manifestations that support the nurse's suspicions?

Select all that apply.
1. Poor hygiene.
2. Dehydration.
3. Intracranial trauma.
4. Fecal impaction.
5. Dislocations.

Question 2

The nurse is assessing a pediatric client during a routine health maintenance visit. Which assessment finding would cause the nurse to assess this client further for sexual abuse?

1. Bruises in different stages of healing.
2. Marks that indicate coining.
3. Weight that falls below the fifth percentile.
4. Persistent urinary tract infections.

katieost · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 2, 4, 5

The nurse suspecting elder abuse would assess for clinical manifestations associated with elder abuse. Some of those clinical manifestations are constant hunger or malnutrition, poor hygiene, social isolation, contractures, dehydration, fecal impaction, fractures, sprains, or dislocations. Intracranial trauma is not a typical clinical manifestation of elder abuse; however, it is a clinical manifestation of child abuse.

Answer to Question 2

Correct Answer: 4

While all of these findings may indicate physical abuse, the only finding that may indicate sexual abuse is persistent urinary tract infections.