A 20-year-old college student was abducted and raped at gunpoint by an unknown assailant. The ED nurse noticed that he was disoriented and confused. What is the best way for the ED nurse to communicate with this client?
A) Provide emotional support and offer to attend to his needs.
B) Make decisions for him as he is confused and disoriented.
C) Let him know that everything will be okay.
D) Ask him why he thinks he was raped and if he had noticed anyone following him prior to the attack.
A
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If a verbal or phone order is necessary in an emergency, the order:
a. must be taken by an RN or LPN. b. must be repeated verbatim to confirm accuracy. c. documented as a written order. d. does not need further verification by the provider.
A patient comes to the medical clinic with complaints of urgency, frequency, pain in the area of the symphysis pubis, and dark cloudy urine. What should the nurse suspect that this patient has?
a. Urinary calculi, probably located in the ureter b. Kidney infection, most likely pyeloneph-ritis c. Cystitis, probably from bacterial conta-mination d. Interstitial cystitis (although rare in a male patient)
A client is brought to the emergency department in serious condition and needs an operation within the next hour. Which of the following principles does the nurse use to guide the health history? (Select all that apply.)
a. Assess the client's current health status. b. Collect data pertinent to the immediate problem. c. Strive to collect only pertinent data while being thorough. d. Update the database when the client's condition allows. e. Use a systematic approach to gather the client's entire health history.
A female patient tells the nurse that she is genetically predisposed to type 2 diabetes. Which of the following is the most important information for this patient?
1. The importance of maintaining a healthy weight and activity level 2. The need to avoid carbohydrate intake 3. The need to begin monitoring daily blood glucose levels 4. The need to address active health problems and not those that have yet to manifest