A patient became confused and used a pocket knife to threaten others. The nurse confiscated the knife. What is the nurse's best defense for this action?
1. Privilege
2. Self-defense
3. Necessity
4. Consent
3
Rationale: It is not a privilege to act in this manner.
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During initial assessment, the nurse notes that the edges of a wound are hard to palpation. The nurse would continue assessment for which conditions?
1. Infection 2. Necrosis 3. Osteomyelitis 4. Deep tissue injury 5. Maceration
A client is being discharged home after outpatient cystoscopy. Which of the following would be significant for the client to report?
1. persistent hematuria 2. drowsiness 3. 1500 mL urine output over 24 hours 4. urinating every 4 hours
When taking the health history of a patient who presents with acute abdominal pain, the nurse should first:
A) Avoid using subjective 1 to 10 pain scale to assess the patient's pain. B) Collect detailed demographic information from the patient. C) Explore the patient's past history of GI illness. D) Postpone an in-depth history to take vital signs.
Which of the following is not considered a cause of galactorrhea?
a. Proliferation of the lactiferous ducts of the breast b. Hypothyroidism, resulting from a decrease in thyroid-releasing hormone c. Excess prolactin secretion from the pituitary d. Drugs such as high-dose oral contraceptives and phenothiazines