The school nurse suspects that a child has been abused after observing several bruises. What action should the nurse take next?
a. The nurse should contact protective services as a mandatory reporter.
b. The nurse should contact the classroom teacher to collect additional information.
c. The nurse should not contact anyone and keep the information private.
d. The nurse should contact the family for an explanation of the child's bruises.
ANS: A
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A nurse is planning an in-service on preventing infection for the hospital staff nurses on a medical-surgical unit. Which nursing intervention is most effective in reducing the risk of infections?
A) Raising the temperature in the client's room B) Assessing vital signs once daily C) Wearing a mask for client care D) Performing hand hygiene
A nurse is planning a community health fair at a local community center. Which goals regarding health promotion does the nurse plan to highlight at the event? Select all that apply
A) The ability to change and modify goals as health needs change B) The ability for clients to be able to assess and evaluate their health needs C) The ability for the client to promote health in other individuals D) The ability to promote cost-saving techniques to healthcare providers E) The ability to prevent disease by imitating nursing techniques
The nurse provides discharge teaching to an older patient recovering from a deep vein thrombosis. Which patient statement indicates that teaching has been effective?
1. "I will limit my fluid intake." 2. "I will rest several additional hours every day." 3. "I will take my medication every day as prescribed." 4. "I will only cross my legs when reading after dinner."
The nurse is planning interventions beneficial to clients with chronic illness. The nurse should focus on:
A) pain management. B) education to promote independent functioning. C) securing assistance from family members. D) assisting the client to accept her illness.