A nurse is assessing an individual who has been the victim of domestic violence. Which part of the body should the nurse assess first?
a. Front of the body
b. Back of the body
c. Proximal parts of the body
d. Distal parts of the body
C
Attacks are often inflicted on proximal parts of the body which can easily be disguised by cloth-ing, so the nurse should assess this area first.
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A nursing manager is explaining to the staff how nursing theory is related to all components of nursing practice. What statement by the manager best outlines this concept?
a. Conceptual frameworks are the basic building blocks of theory and practice. b. Education is the foundation for all nursing understanding, including theory. c. Nursing knowledge can only be derived from well-tested theoretical models. d. Theory informs practice, research, and education, which in turn inform theory.
A newly admitted patient with schizophrenia approaches the unit nurse and says, "The voices are bothering me. They are yelling and telling me stuff. They are really bad.". Which response by the nurse would be most appropriate?
a. "Do you hear these voices very often?" b. "Do you have a plan for getting away from the voices?" c. "I'll stay with you. Tell me what you are hearing.". d. "Try to ignore them and play cards with the others.".
A patient infected with HIV is being monitored for the development of AIDS. Which characteristics would the nurse monitor?
1. White blood count 2. CD4+ T-cell count 3. Presence of recurrent E. coli urinary tract infection 4. Presence of Pneumocystis jiroveci (PJP) infection 5. Presence of cytomegalovirus (CMV)
When caring for a client receiving an ophthalmic corticosteroid, the nurse should:
a. monitor the client for headache and blurred vision. b. test the client's intraocular pressure every four hours. c. monitor the client's temperature every four hours. d. instruct the client to return to the clinic for each medication administration.