A visiting nurse notices bruises on an elderly client's face and legs. When she questions the client about the bruises, the client is very evasive. The nurse suspects that the client has been a victim of elder abuse
What should the nurse do next? a. Call protective services to report the suspected elder abuse.
b. Confront the client's caregiver and threaten to notify the police.
c. Continue questioning the client to assess the degree of abuse.
d. Return in 2 weeks to reassess the client's condition.
C
The nurse should continue to question the client to further assess the situation. If elder abuse is confirmed, the nurse should then contact the protective services.
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The staff development nurse has elected to use coaching as a staff development technique. Which situation is an example of this technique?
1. Pairing a newly licensed nurse with a nurse who has worked on the unit for 5 years 2. Matching a newly hired male nurse with a newly hired female nurse 3. Pairing a nurse with conflict management experience with an employee who has expressed dissatisfaction with the job 4. Matching nurses who have similar educational and cultural backgrounds when selecting participants for an educational offering
A client is suspected of experiencing a brain injury. The nurse in the emergency department notes that the client had extended loss of consciousness and is now combative. The nurse concludes that the client has experienced:
1. a penetrating brain injury. 2. a concussion. 3. a contusion. 4. intracerebral hematoma.
During assessment of a client at risk for hematologic problems, the nurse palpates the client's spleen just below the ribs on the left side. What is the nurse's best action?
A. Document the finding as the only action. B. Ask about a history of mononucleosis. C. Apply an abdominal binder. D. Notify the physician.
Li is a 6-month-old infant with severe eczema. She would benefit from topical corticosteroid therapy. Instructions for using topical corticosteroids in children include:
1. Apply liberally to all areas with eczema. 2. Double the frequency of application when the eczema is severe. 3. Apply sparingly to eczema areas. 4. Cover the eczema area with an occlusive dressing after applying a corticosteroid.