The emergency department nurse listened as the woman said, "I know that this sounds stupid, but I was leaning on the door handle and I fell out of the car right into the traffic."
The woman had a broken leg in addition to scrapes and bruises. What should the nurse be sure to ask?
A. "Is it possible someone pushed you out of the car? Have you been hit, slapped, kicked, or physically hurt by someone during the last year?"
B. "Perhaps you need some automobile safety classes. If your seat belt had been fastened, this wouldn't have happened. May I sign you up?"
C. "Sounds like you really need some physical education classes to learn how to handle your body and balance better. May I suggest some resources to you?"
D. "Were you using drugs or alcohol at the time and just got careless?"
ANS: A
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The nurse is planning care for a client who is experiencing chronic lymphedema of the left arm. What should be the priority for this patient?
1. Monitoring urine output. 2. Maintaining skin integrity. 3. Keeping the affected arm immobile and flat. 4. Increasing dietary sodium.
The nurse teaching a class for women anticipating pregnancy explains that gonorrhea and Chlamydia pose a threat to the newborn because:
A) the treatment for these diseases can cause irreversible mental retardation. B) the organisms can cause birth defects if acquired during early pregnancy. C) the baby might encounter the organisms in the birth canal during delivery. D) the infection can restrict fetal growth and prevent lung development.
A nurse who was working in public health care has gotten a new job in primary care. Which of the following differences would be seen by the nurse in this new care setting?
a. Focus on individuals b. Services provided by specialists c. Autonomy in the practice setting d. Community focused care is provided
The nurse administers a narcotic to a client who is still complaining of severe pain 15 minutes after administration of the drug. What is the most appropriate response from the nurse?
a. "You should be feeling relief in just a few minutes." b. "I'll call the doctor to see if I can give you some more." c. "You're going to have to tough it out until your next dose." d. "I'll call the pharmacist to see what he says about it."