A 76-year-old adult female is brought to a neighborhood client ...

[Metfan725]

A 76-year-old adult female is brought to a neighborhood client after being found wandering around the local park. The client appears disheveled and reports being hungry.
 
  Which of the following assessment and interview findings would cause the nurse to suspect elder abuse? (Select all that apply.)
  1. Keeps asking when she can go
  2. Repeatedly states, Don't hurt me.
  3. Chafing around wrists and ankles
  4. Bruises in various stages of healing
  5. Falls asleep in the examination room
  6. Can't name the President of the United States

Question 2

Which of the following health history and physical assessment findings place an elderly client admitted for abdominal pain at risk for infection? (Select all that apply.)
 
  1. Redness at the IV site
  2. Productive yellow cough
  3. Foley catheter placement
  4. History of bipolar disorder
  5. Oral temperature of 98.8 F
  6. Recent radiation for prostate cancer

[Eunice618]

Answer to Question 1

ANS: 2, 3, 4
These findings and behaviors are consistent with those exhibited by older adults who have expe-rienced physical and/or emotional abuse. The remaining options are not as directly connected with abuse and may be a result of other physical or cognitive disorders.

Answer to Question 2

ANS: 1, 2, 3, 6
Learn to group significant findings into clusters of data that reveal actual or risk for nursing diagnoses. A history of bipolar disorder and an oral temperature of 98.8 F do not indicate the client is at risk for an infection.

[Metfan725]

Excellent

[tranoy]

Gracias!