A 1-year-old is a victim of child abuse. Which of the following factors obtained on history is most apt to be associated with the risk of Munchausen Syndrome by Proxy physical abuse in children?
A) The family has a low socioeconomic level.
B) The mother was abused as a child.
C) The parents are outgoing, gregarious people.
D) The family is an extended one.
B
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A newly licensed registered nurse is working with a preceptor on the acute care unit. He is developing the nursing care plan for a newly admitted client. The primary nursing diagnosis is knowledge deficit related to pre- and postoperative care
After developing goal statements for the plan, the preceptor reviews them. Which of the goal statements is most appropriate? A) The client will understand the prescribed medications. B) The nurse will administer the prescribed medications. C) The client will be afibrile during the postoperative period. D) The client will verbalize understanding of the preoperative medications prior to surgery.
Six hours after a beach picnic on a hot afternoon, a young man enters the ER with nausea and vomiting, headache, and diarrhea. On interview, the patient says that he ate potato salad and tuna fish sandwiches
The nurse anticipates that the causative organism for these symp-toms is: 1. Clostridium botulinum 2. Clostridium perfringens 3. Salmonella 4. Staphylococcus aureus
A client, who is a 7-year breast cancer survivor, tells the nurse, "My husband will help me bathe when he gets here." The nurse interprets this statement to mean that the client:
1. Is reluctant to have the staff see her chest scar 2. Prefers to protect her modesty and privacy 3. Has a healthy self-image regarding her husband 4. Is not comfortable with the care she is receiving
The nurse is reviewing prenatal charts. A patient at 24 weeks has a history of class II heart disease secondary to rheumatic fever. What would the nurse expect to see in the chart?
1. Dyspnea and chest pain with mild exertion 2. Elective cesarean birth scheduled for 37 weeks 3. Discussed need for labor epidural and vacuum extraction 4. Respiratory rate 28, pulse 110, 3+ pre-tibial edema bilaterally