Based on the importance of recognizing all the important elements for their role as part of the assaulted patient's context or environment of care, the nurse will:
a. Keep the family well informed of the patient's status and plan of care.
b. Document the patient's statement for the purpose of future legal proceedings.
c. Provide the staff with a detailed shift change report including the patient's state of mind.
d. Notify the local police with updates concerning the patient's health status and verbal statements.
ANS: A
It is pertinent for nurses to adopt a family-centered approach that encompasses family mem-bers in caring interventions so that they are recognized as part of the patient's context or en-vironment. Providing effective shift change information is an expectation regardless of the nature of the care. The remaining options would be considered standard practice in cases in-volving violence as a crime and not related to the plan of care.
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The practice of nurses, nursing students, and faculty is affected by demographic changes due to:
a. the growing percentage of adults ages 50 to 55 years. b. increasing numbers of obese children and adults. c. changes by which families are becoming more nuclear. d. social programs that are essentially eliminating poverty.
A client is receiving IV furosemide (Lasix). The nurse will monitor for which adverse effect?
1. Bradycardia 2. Vomiting 3. Nausea 4. Hypotension
The nurse measures a blood pressure of 166/100 mm Hg on a participant of a screening clinic. Which follow-up should the nurse recommend to this participant?
a. 1 month b. 2 months c. 12 months d. 24 months
If the client's vital signs are found to be outside of the expected range, the nurse should first:
A. Contact the physician immediately B. Ask another nurse to check the measurements C. Document the values for three successive times D. Repeat the measurements within an appropriate time at an alternative site