A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the following situations is the nurse required to disclose information to an outside agency about the client or the client's circumstances?

Correct Answer: A

Rationale: Physical signs of dependent adult abuse include skeletal fractures, as well as burns, bruises, welts, and lacerations. Nurses are responsible for reporting suspicion of dependent adult abuse to the proper legal authorities within the state. It is important for the nurse to note that a competent older adult has the right to make his or her own decisions about pursuing legal action. Unless a client has been found to be legally incompetent, he or she is not classified as a dependent adult.

Correct Answer: B

Rationale: Humidifying the oxygen can help alleviate nasal discomfort caused by the drying effect of high-flow oxygen. Sitting up or using an extra pillow may improve comfort but will not address the dryness caused by the oxygen flow. Switching to a face mask is not necessary unless the patient requires a higher oxygen concentration.

Correct Answer: D

Rationale: As people age, physical changes, health conditions, and life circumstances can lead to a decline in the frequency and opportunities for sexual activity, but the need for intimacy remains.

Correct Answer: A

Rationale: Avoiding smoking and smoke exposure is crucial for ARDS recovery as these irritants can further damage the healing lung tissue and increase the risk of complications or recurrence.

Correct Answer: B

Rationale: Qualitative research seeks to understand social phenomena by exploring individuals' experiences and the context in which they occur.