A 33-year-old woman has been treated for a periorbital hematoma and a broken nose that she suffered when her husband struck her
She does not know where he currently is, and she is scheduled for discharge. What action should the care team prioritize in this client's care?
A) Ensuring that the woman knows how to change her nasal dressings
B) Teaching the woman improved coping and conflict-resolution skills
C) Educating the woman about the dynamics of domestic violence
D) Ensuring that the woman goes to a safe place
Ans: D
The woman's safety supersedes the importance of education and dressing changes, though all of these are appropriate interventions when conducted at the appropriate time.
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Which of the following assessment questions could be useful in determining a client's inner strengths?
a. What gives your life meaning? b. What do you believe in? c. How hopeful are you about getting better? d. Do you participate in any religious activities?
The nurse is providing multiple medications to a patient whose spouse brings grapefruit juice every morning. The nurse will be concerned about which classes of drugs? (Select all that apply.)
a. Calcium channel blockers b. Selective serotonin reuptake inhibitors c. Aminoglycosides d. Beta blockers e. Penicillins
An example of artificially acquired active immunity is:
1. developing chickenpox as a child. 2. developing measles as an adult. 3. receiving a PPD yearly. 4. receiving prophylactic vaccines.
A nurse is assessing a woman in labor. Which finding would the nurse identify as a cause for concern during a contraction?
A) Heart rate increase from 76 bpm to 90 bpm B) Blood pressure rise from 110/60 mm Hg to 120/74 C) White blood cell count of 12,000 cells/mm3 D) Respiratory rate of 10 breaths /minute