A mother and two children are in the emergency department. She has just escaped from a severe beating by her husband. What is the nurse's priority intervention?
a. Appeal to her maternal instincts regarding child care.
b. Focus on physical safety and emotional security.
c. Provide a support group referral.
d. Disclose victims' legal rights.
B
During the impact stage, the victim is acutely aware of the danger she has just escaped. Believing that the next beating could be fatal might provide incentive to take constructive action. The nurse can assist the victim to begin to consider a plan for escape when the next beating seems imminent and can provide information about resources.
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When addressing an ethical dilemma, contextual, physiological, and personal factors of the situation must be considered. Which of the following is an example of a personal factor?
a. The hospital has a policy that everyone must have an advanced directive on the chart. b. The patient has lost 20 pounds in the past month and is fatigued all of time. c. The patient has told you what quality of life means and his or her wishes. d. The physician considers care to be futile in a given situation.
A nurse has assessed the patient with a left-sided head injury and records this information: decreasing level of consciousness; slow pupillary response on the right side; blood pressure, 167/80 mm Hg; previous blood pressure, 160/72 mm Hg; and
gradually increasing respiratory and pulse rates. The nurse is aware that these assessments are indicators of _____. Fill in the blank(s) with correct word
A patient was sent to a rural emergency department after screening by the occupational health nurse revealed a blood pressure of 185/115 mm Hg. The patient reports feeling "fine" and denies associated symptoms. The nurse would anticipate which interventions for this patient?
1. Administration of oral antihypertensive medications 2. Admission to the hospital for monitoring 3. Teaching the patient how to monitor blood pressure at home 4. IV administration of antihypertensive medications 5. Transfer to an intensive care unit in a larger hospital
The nurse instructs the parents of a neonate who was circumcised with a Plastibell that they should:
a. Tub bathe the child daily b. Notify the physician if a dark ring appears c. Not remove the ring d. Pad the penis with a fluffy dressing of gauze