The nurse receives a client who is 90 years old for potential fracture of the radius. The client came from home, is wearing a brief that is soiled with urine and feces, and there are multiple oval-finger sized bruises on the clients body. The nurse should do which of the following? Select all that apply.

 

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Correct

- Provide a safe environment

- Clean the client up

- Report incident to the state

- Discharge the client home after a negative X-ray

- Assume the patient has poor hygiene and is clumsy

Rationale

It is likely this client is being abused by their caregiver and the situation should be investigated, it is recommended that the nurse clean the patient and make sure the patient is safe first, then fill out the appropriate forms to report to the abuse to the state, and question family/caregivers as well as the patient as to the situation at home.

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