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    Hesi Rn compass exit B proctored exam

    Patient Data Exhibits The nurse reviews the findings in the history and physical. Drag from Word Choices to complete the sentence. The nurse recognizes that dropdown , dropdown and dropdown are findings consistent with elder mistreatment.

    Explanation & Rationale

    Rationale for Correct Answers: Poor hygiene: Untrimmed, dirty fingernails and toenails, halitosis, and flaky skin point toward poor personal care, which can reflect caregiver neglect or failure to meet basic hygiene needs. Pressure injuries: The presence of stage II pressure injuries on the coccyx and right ankle, along with boggy heels and groin excoriation, indicate prolonged immobility and inadequate repositioning or skincare, which are strong indicators of neglect. Malnutrition: A weight of 98 lb for a height of 5 ft 4 in suggests undernutrition, especially in the context of restricted activity, fatigue, and possible anemia. This implies the client may not be receiving adequate nourishment or hydration. Rationale for Incorrect Answers: Bilateral leg edema: While edema can indicate poor circulation or heart failure, it is not itself an indicator of elder mistreatment and may reflect chronic disease progression rather than neglect. Diminished breath sounds: Could be related to her heart failure or other medical conditions, not directly indicative of mistreatment. Including it as a mistreatment indicator would be inaccurate. Dark room lighting: While a dim environment may contribute to poor mood or isolation, it is not a definitive sign of mistreatment unless combined with more concrete evidence of neglect or harm. Short term memory loss: This is a common symptom of early-stage dementia and is not in itself indicative of abuse or neglect. It is part of the client’s documented medical condition.

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