The clinic nurse asks pregnant women about their acceptance and planning for this pregnancy as a component of domestic violence screening. The nurse is aware that a(n) __________ pregnancy __________ the risk for domestic violence
Fill in the blank with the appropriate word.
ANS: unplanned; increases
Intimate partner violence (IPV) may occur for the first time during pregnancy, or the nurse may identify evidence during the physical examination that is suspicious of ongoing physical abuse. Acceptance of pregnancy may be delayed if it was unplanned or unwanted. As a women's advocate, nurses have a duty to be observant, to actively listen, and to use communication skills to gain clarification and understanding.
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The patient has undergone intracerebral surgery. Knowing that interruption of the skull interferes with the brain's ability to autoregulate, what nursing assessment information most clearly indicates the highest patient risk?
A) Pulmonary adventitious sounds B) Capillary refill less than 2 seconds C) Blood pressure consistently elevated D) Pain at 8 on 0-to-10 scale
Which of the following risk factors, if noted during a family history assessment, should a nurse associate with the development of IDD? (Select all that apply.)
1. A family history of Tay-Sachs disease 2. Childhood meningococcal infection 3. Deprivation of nurturance and social contact 4. History of maternal multiple motor and verbal tics 5. A diagnosis of maternal major depressive disorder
The patient is unable to eat and there are no bowel sounds, indicating that his bowels are not functioning. The best approach to providing nourishment would be:
a. intravenous crystalloids. b. blood product administration. c. parenteral nutrition (PN). d. colloid administration.
A male patient is being treated in the hospital for the effects of a debilitating ischemic stroke that he experienced 2 weeks ago
The patient's plan of care identifies a risk of skin breakdown due to the cognitive, sensory, and motor effects of the stroke. What intervention should the nurse prioritize in an effort to reduce the patient's risk of pressure ulcers? A) Turn the patient at least twice between 2200 and 0600 each night. B) Ensure that the patient's heels are elevated off the surface of his bed. C) Avoid seating the patient in a chair until his rehabilitation has been completed. D) Provide relevant health education to the patient about the management of pressure ulcers.