A 14-year-old boy with blue hair, several body piercings, and homemade tattoos presents to the emergency department alone with facial lacerations and a broken arm
In gathering data, it is noted the child has scars on his arms that appear to be track marks, possibly from IV drug use. When asked information regarding where he lives, he is evasive. He tells the nurse that he has no parents when contact information is requested. In addition to being treated for the broken arm and lacerations, what additional care would be the highest priority for this child?
A) The child would be given a bath and oral care.
B) An order would be written for multiple vitamins to be given.
C) A list of after-school programs would be provided to the legal guardian.
D) An HIV test and counseling would be done.
D
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After a class on culture and ethnicity, the new graduate nurse reflects a correct understanding of the concept of ethnicity with which statement?
a. "Ethnicity is dynamic and ever changing." b. "Ethnicity is the belief in a higher power." c. "Ethnicity pertains to a social group within the social system that claims shared values and traditions." d. "Ethnicity is learned from birth through the processes of language acquisition and socialization."
The campus nurse at a university is assessing a 21-year-old student who presents with a severe nosebleed. The site of bleeding appears to be the anterior portion of the nasal septum
The nurse instructs the student to tilt her head forward and the nurse applies pressure to the nose, but the student's nose continues to bleed. Which intervention should the nurse next implement? A) Apply ice to the bridge of her nose B) Lay the patient down on a cot C) Arrange for transfer to the local ED D) Insert a tampon in the affected nare
Which of the following describes a positive Romberg sign?
a. downward drift of right arm b. inability to run heel down c. unsteady after 10 seconds with eyes closed d. inability to walk in a straight line, touching heel to toe
The nurse is caring for a client who is experiencing a rapid release of histamine on a large scale throughout the body. What is the client experiencing?
1. Anaphylaxis 2. Swelling 3. Pain 4. Redness