A nurse is examining a 75-year-old woman and finds evidence of ongoing physical abuse. Upon asking, the woman reveals that her 75-year-old husband hits her on occasion. The woman asks the nurse not to disclose this information to the police
The nurse understands that: a. in any case of abuse, the nurse is required to disclose the information to the police, regardless of the client's wishes
b. the nurse is free to use her own judgment as to whether or not she should inform the police
c. because this is a case of elderly abuse, the nurse is required to disclose the information to the police regardless of the client's wishes
d. because the abuser is the client's husband, it is not considered a case of elderly abuse; therefore the nurse cannot disclose the information to the police against the client's wishes
C
The nurse is required by law to report all cases of suspected elder abuse to the proper authorities. The nurse is also obligated to report cases of child abuse.
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The nurse is taking care preoperatively of a client who will be having a coronary artery bypass graft (CABG). What is a priority nursing intervention for this client?
1. Ensure the client and family understands the various tubes that the client will have when the family first sees the client. 2. Teach the client to request pain medication when the pain is unbearable. 3. Discuss the location of the bed controls in the intensive care unit. 4. Teach the client about an incentive spirometer.
A client, diagnosed with keratoconus, asks the nurse what caused the disorder to develop. The nurse should instruct the client on which of the following as risk factors for the development of this disorder? (Select all that apply.)
1. Sun exposure 2. Ocular allergies 3. Wearing rigid contact lenses 4. Vigorous eye rubbing 5. Herpes simplex virus 6. Dry eyes
A child is brought to the emergency department, and a fracture of the left lower arm is suspected. The mother states that the child was rollerblading and attempted to break a fall with an outstretched arm
Diagnostic x-rays of the child reveal that a fracture is present. A plaster of Paris cast is applied to the arm, and the nurse provides instructions to the mother regarding cast care at home. Which teaching points would the nurse provide the mother? Select all that apply. 1. The cast should be dry in about 6 hours. 2. The cast is water-resistant, so the child is able to take a bath or a shower. 3. The cast will mold to the body part. 4. The cast needs to be kept dry, because when wet it will begin to disintegrate. 5. Keep the cast elevated for the first day on pillows. 6. Make sure that the child can frequently wiggle the fingers.
The first injectable drug indicated to treat alcohol dependence is which of the following?
A. Vivitrol B. Prozac C. Dexedrine D. Antabuse