The nurse is caring for a 34-year-old woman, who was admitted to the hospital with multiple rib fractures. The patient states, "I fell down the stairs. It was all my fault. I can be so stupid at times
" The nurse notices healing bruises on the patient's back and buttocks. The patient's husband seems very caring, always holding her hand and often answering questions for her. The nurse should do which of the following? a. Direct her questions toward the husband because he answers most of them anyway.
b. Accept the patient's report on how she received her broken ribs.
c. Ask the husband to step into the waiting room while the patient is examined.
d. Treat the patient's wounds and discharge her home.
C
If you suspect abuse, interview the patient privately. A patient will probably not admit to problems of abuse with the abuser present. Sexual abuse, assault, and rape are also stressors that affect self-concept. Be alert to clues that suggest abuse. In addition, observe the interaction between the patient and partner for additional clues. Controlling behaviors such as speaking for the person or refusing to leave him or her alone with a caregiver are suggestive of emotional and perhaps physical or sexual abuse.
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The patient is recovering from a cerebrovascular accident (stroke). The patient is having problems with balance and coordination. The patient asks the nurse what part of the brain has been damaged. How should the nurse respond?
a. The hypothalamus has been damaged. b. The cerebellum has been damaged. c. The thalamus has been damaged. d. The medulla oblongata has been damaged.
The LPN arrives on duty at 7 AM to find that there is inadequate staffing for the day shift. The LPN should (select all that apply):
1. file a written protest with administration immediately. 2. invoke "safe harbor." 3. refuse assignment. 4. call hospital administration. 5. suggest that nursing assistants (NAs) file a written protest.
A client complains of colicky abdominal pain, nausea, constipation, and bloating. During the nursing assessment, the client vomits fecal material. Which of these conditions should be suspected?
a. abdominal hernia c. intestinal obstruction b. duodenal ulcer d. pancreatitis
After the nurse instructs a client prescribed insulin glargine about her insulin, which comment by the client indicates to the nurse that further teaching is needed?
a. "This is a long-acting insulin that I inject subcutaneously." b. "This insulin doesn't have a peak, so it won't cause hypoglycemia." c. "I only need to inject this insulin once a day." d. "I can't mix any other insulin with insulin glargine."