The nurse who sees a number of battered women each year decides to put together a set of guidelines for nurses. An appropriate guideline to include, with the victims' informed consent, would be to:
1. Take at least two photographs of each trauma area
2. Assess for sexually transmitted disease
3. Follow rape protocol even when rape is not suspected
4. Make protective services aware of the abuse
ANS: 1
The AMA guidelines recommend that two photos be taken of each traumatized area. One set is kept in the client's medical record; the other is sent to the client at a safe address. 2. This is part of rape protocol. 3. This is used only if there is evidence of sexual acts committed against the client's will. 4. Protective services are notified in cases of child abuse or battering of adults al-ready under the care of protective services.
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The nurse is caring for a patient scheduled for surgery who is to receive a barbiturate as part of the planned balanced anesthesia
What drugs, if taken by the patient, could result in a clinically important drug–drug interaction with the barbiturate? (Select all that apply.) A) Thyroid hormone B) Ibuprofen C) Oral contraceptive D) Theophylline E) Anticoagulant
A female client experiencing intimate partner violence (IPV) presents at a local healthcare facility for counseling. The nurse learns that the client is in the binding phase of the IPV cycle
Which of the following would the nurse identify as characteristic of the binding phase? A) Client justifies her partner's reaction. B) The client begins to lose her identity. C) Conflicts between the couple get physical. D) Client focuses on self-survival.
Which are barriers to implementation of evidence-based practice? Select all that apply
a. Lack of available time b. Inferior quality of available research c. Unwillingness of organizations to fund research d. Inability to understand the evidence
To prevent pressure injuries from forming, the nursing assistant should
A. Reposition bed-confined patients every four hours. B. Reposition bed-confined patients at least every two hours. C. Make sure every patient is out of bed for two hours each day. D. Position each bed-confined patient in a sitting position for four hours.