A woman and her partner come to the emergency department. The woman has bruising on both upper extremities and a fracture of the left arm. The client states that she fell down the stairs
Which of the following would lead the nurse to suspect that the client is a victim of violence?
A) Client freely answers questions asked about the injury
B) Partner states that client is very clumsy and accident prone
C) Partner leaves the examination room when asked
D) Client holds partner's hand when arm is being examined
B
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A 3-day-old preterm infant is diagnosed with physiologic jaundice. When subjecting the newborn to phototherapy, to which of the following must the nurse pay attention?
A) Encouraging frequent maternal–child bonding B) Avoiding frequent feeding of the newborn C) Wrapping the infant in warm clothes D) Preventing hypothermia or hyperthermia
A nurse student states, "I feel good that I put an indwelling catheter in my client without any problem." This demonstrates which factor affecting self-concept?
A) Culture B) Inadequate coping C) Stress tolerance D) Values
The nurse is documenting a care plan for a client who has undergone electroconvulsive therapy (ECT). The nurse should include which intervention?
A. Monitoring the client's vital signs every hour for 4 hours B. Placing the client in Trendelenburg's position C. Encouraging early ambulation D. Reorienting the client to time and place
Clean the blood pressure cuff once every 24 hours unless individual disposable cuffs or covers are used.
Answer the following statement true (T) or false (F)