A nursing student informs you that the examination revealed ecchymoses on the face, breasts, and buttocks of a 14-year-old patient. Your best response is to inform the student that these findings are most likely related to which of the following?
a. liver dysfunction c. trauma from physical abuse
b. heparin or Coumadin use d. familial blood condition
C
Ecchymosis is a bruise or superficial bleeding under the skin or mucous membranes. Areas of ecchymosis are often signs of trauma that could be the result of physical abuse. In a 14-year-old, such a finding on the face, breasts, and buttocks would most likely be caused by physical abuse. Ecchymosis can also occur with heparin or Coumadin use or liver dysfunction; however, these would not typically be located on the breasts and buttocks.
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The student nurse caring for a postsurgical patient who has developed a health care–acquired wound infection that has become systemic. Which of the following should be the student nurse's top priority?
a. Providing emotional support b. Managing vital signs c. Providing patient education d. Providing personal hygiene
A patient tells the nurse that a close friend has ascariasis. The patient expresses worry about becoming infested. What will the nurse tell this patient?
a. "Ascariasis usually resolves without treatment, so you should not worry." b. "Avoid going barefoot and practice good hygiene and you won't become infested." c. "Treatment is always indicated if you are exposed, because ascariasis is contagious." d. "You should be tested, because serious complications can occur without treat-ment."
A major challenge to full autonomy for nurses is/are
a. state nurse practice acts. b. lobbyists for the American Medical Association (AMA) and hospital associations. c. the status of nurses in hospital hierarchy. d. the view of physicians as the gatekeepers in health care.
A 52-year-old Chinese American patient is admitted to hospice care because of terminal cancer. The nurse understands that this patient may hold that pain
1. Is better expressed by moaning than by complaining in words. 2. Should be verbalized instead of communicated by grimacing. 3. Does not need to be endured, so pain medication should be asked for when needed. 4. Should be suffered in silence, without verbal complaints or other expressions of discomfort.