An older client who lives with a caregiver is admitted to an ...

[sheilaspns]

An older client who lives with a caregiver is admitted to an emergency department with a fractured arm. The client is soaked in urine and has dried fecal matter on lower extremities. The client is 6 feet tall and weighs 120 pounds.
 
  Which condition should the nurse suspect? 1. Inability for the client to meet self-care needs
  2. Alzheimer's disease
  3. Abuse and/or neglect
  4. Caregiver role strain

Question 2

Which of the following conditions have been known to precipitate delirium in some individuals? (Select all that apply.)
 
  1. Febrile illness
  2. Seizures
  3. Migraine headaches
  4. Herniated brain stem
  5. Temporomandibular joint syndrome

[blfontai]

Answer to Question 1

3
Rationale: The nurse should expect that this client is a victim of elder abuse or neglect. Indicators of elder physical abuse include bruises, fractures, burns, and other physical injury. Neglect may be manifested as hunger, poor hygiene, unattended physical problems, or abandonment.

Answer to Question 2

1, 2, 3
Rationale: Delirium most commonly occurs in individuals with serious medical, surgical, or neurological conditions. Some examples of conditions that have been known to precipitate delirium in some individuals include the following: systemic infections; febrile illness; metabolic disorders, such as hypoxia, hypercarbia, or hypoglycemia; hepatic encephalopathy; head trauma; seizures; migraine headaches; brain abscess; stroke; postoperative states; and electrolyte imbalance. A herniated brain stem would most likely result in death, not delirium. Temporomandibular joint syndrome is marked by limited movement of the joint during chewing, not delirium.

[sheilaspns]

Thank you

[blfontai]

Happy to help you