The nurse is caring for a small child who has been admitted with a diagnosis of shaken baby syndrome. Which of the following conditions or concerns often occur with shaken baby syndrome?
A) Edema to the arms and legs
B) Loss of vision and mental retardation
C) Chronic infection and scarring
D) Complaints of illness and nightmares
B
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Only one nurse was scheduled to care for 12 postsurgical patients with a nursing assistant. The nurse is concerned for the safety of the patients and the nursing license. What is the most appro-priate first step in this situation?
a. Contacting the nursing supervisor and documenting the action b. Refusing to care for the patients without appropriate help and leaving c. Contacting the State Board of Nursing and documenting the action d. Contacting the hospital administrator on call to complain and documenting the ac-tion
A male patient reports difficulty starting a urine stream and a weak urine flow. When prompted to seek medical attention, the patient asks why, as it's "obviously" benign prostatic hypertrophy. What response by the nurse is best?
a. "You never know; it could be cancer." b. "You should have any change checked out." c. "Only the physician can make a diagno-sis," d. "BPH and prostate cancer have similar symptoms."
A patient learns that a small bowel obstruction was caused by an appendectomy 5 years ago. How would the nurse explain this development to the patient?
1. "The infection in your appendix should have been treated earlier.". 2. "Abdominal surgery sometimes results in adhesion or scarring of tissues that can result in bowel obstruction.". 3. "You must have had an undiagnosed femoral hernia at the time of your appendectomy.". 4. "The surgeon did not irrigate your abdomen adequately when you had your appendectomy.".
Which scenario predicts the highest risk for directing violent behavior toward others?
a. Major depression with delusions of worthlessness b. Obsessive-compulsive disorder; performs many rituals c. Paranoid delusions of being followed by alien monsters d. Completed alcohol withdrawal; beginning a rehabilitation program