The nurse is assessing an older adult client who has come to the emergency department with a possible urinary tract infection. Which would alert the nurse that this client has been abused?
A. The right knee has a large bruise.
B. The underwear smells of urine.
C. There are bilateral contusions above the elbows.
D. There are small lacerations on the forehead.
Answer: C
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A client who has been unable to leave his home for more than a month because of symptoms of
severe anxiety tells the nurse "I know it's probably crazy, but I just can't bring myself to leave my apartment alone.". An appropriate nursing intervention for the nurse to include in the nursing care plan is to a. teach the client to use positive self-talk. b. assist the client to apply for disability benefits. c. reinforce the irrationality of the client's fears. d. advise the client to accept the situation and use a companion.
A 16-year-old girl is taken to the emergency department after being kicked in the lower leg during a volleyball match. The leg area has become swollen and discolored. The triage nurse recognizes that the patient has likely sustained what?
A) Sprain B) Strain C) Contusion D) Dislocation
The patient has an IV of normal saline running in his right hand. His left antecubital space has a saline lock in place for emergency access. Where should the nurse take the blood pressure?
A) Right arm B) Left arm C) Either leg D) Omit blood pressure reading
The nurse is preparing a community education program on the prevention of spinal cord injuries. Which of the following individuals would most likely benefit from this education?
1. Adolescent female who plays golf 2. Adolescent male who rides horses 3. Thirty-year-old female housewife 4. Fifty-year-old male who is a computer technician