The nurse working in family practice is assessing an elderly female patient and notices bruises on the patient's arm and back. The most appropriate action the nurse should take is:
a. ignore the bruises because her daughter tells you that her mother is clumsy.
b. do nothing because you cannot prove anything.
c. report the suspected abuse to the appropriate authorities.
d. confront and accuse the daughter of elder abuse.
C
Suspected abuse or neglect cannot be ignored, and suspicion of abuse or neglect is sufficient to report suspected abuse to authorities. It is not your burden to prove
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A faculty member explains to a nursing student that the best way to prevent hemorrhage from injuries in a neonate is which of the following?
A. Administer vitamin K1 phytonadione (AquaMEPHYTON). B. Handle the infant carefully while wearing soft gloves. C. Keep the infant swaddled in several layers of blankets. D. Teach the parents how to trim the baby's fingernails.
A patient who had recent abdominal surgery is becoming increasingly agitated and confused. He has pulled out his IV and his nasogastric tube. His skin is pale and clammy, heart rate 120 bpm, BP 130/60. The physician has been called. What nursing action is
a. Gather needed supplies and assign the aide to remain with the patient. b. Stay with the patient and have another nurse obtain needed supplies. c. Administer pain medication and then recheck vital signs. d. Assign the aide to retake vital signs every 15 minutes.
A community health nurse is working with a community that is involved with improving community and individual reaction and responses, so that the effects of a disaster are minimized. This community is in which phase of disaster management?
A) Prevention B) Preparedness C) Response D) Recovery
The Joint Commission (TJC) has made recommendations for abbreviation use, which have been instituted in most health care facilities. Which abbreviations would the nurse expect to find on the "Do Not Use" list from TJC? (Select all that apply.)
a. Qd b. Qod c. Prn d. NPO e. STAT