What is the most important aspect of care for the nurse to remember when screening a woman for partner abuse?
1. Ensuring privacy and confidentiality
2. Conveying warmth and empathy
3. Asking specific, direct questions about abuse
4. Clarifying her myths about battering
1
Explanation: 1. Screening for women experiencing domestic violence must be done privately, with only the nurse and the client present, in a safe and quiet place.
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The nurse writes two nursing diagnoses: (1) inadequate nutritional intake related to vomiting as manifested by 3-pound weight loss and (2) risk for impaired skin integrity related to inadequate nutrition
The major difference between the two diagnoses is that the second diagnosis: a. needs no defined nursing interventions. b. needs medical intervention. c. will not need to be evaluated. d. reflects a problem that does not yet exist.
A patient being mechanically ventilated has the following ventilator settings: SIMV 16, PEEP 20 cm of H2O, FiO2 45%, tidal volume .450 liters. What concerns will the nurse have for this patient?
1. Barotrauma 2. Volutrauma 3. Sinusitis 4. Oxygen toxicity
An OR nurse is quizzing a group of students who are observing in the surgical suite. The nurse asks the students how many stages of anesthesia there are. Which answer by the students is correct?
1. Two 2. Four 3. Three 4. One
The nurse is assisting in the care of a client with myasthenia gravis who is receiving pyridostigmine (Mestinon)
Which of the following medications should the nurse plan to have readily available should the client develop cholinergic crisis because of excessive medication dosage? 1. Vitamin K 2. Atropine sulfate 3. Protamine sulfate 4. Acetylcysteine (Mucomyst)