A community health nurse visits a home and notices multiple bruises on a 4-year-old child. The mother reports that her husband is an alcoholic and is currently sleeping. What action should the nurse take?
1. The nurse should question the mother about sexual abuse.
2. Interventions directed at family violence should begin.
3. The nurse must report the case of suspected child abuse to authorities.
4. The nurse should refer the mother to a social worker or Al-Anon group.
ANS: 3
It is required by law that nurses report all cases of suspected child abuse.
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A 14-year-old boy is brought to the clinic by his mother. The patient has a note from his basketball coach explaining that a member of the team has been diagnosed with hepatitis A infection
The nurse notes that the patient has an extensive list of allergies. What is the nurse's priority action when administering the immune globulin? A) Perform a hepatitis A antibody check. B) Monitor the patient carefully and have emergency equipment ready if needed. C) Apply ice to the injection site to slow the absorption of the serum. D) Give the patient aspirin and a corticosteroid before the injection to modulate reaction.
A patient has been recently diagnosed with Parkinson's disease. A nurse is providing patient education for the patient and the spouse. The nurse is correct to state that the goal with the cur-rent drug regimen is to
a. improve the patient's ability to carry out activities of daily life. b. stimulate the growth of new neurons. c. reduce the occurrence of psychiatric disorders among Parkinson's patients. d. prevent hypertensive crisis.
The nurse instructs a patient about application of corticosteroid cream to an area of contact dermatitis on the right leg. Which patient action indicates that further teaching is needed?
a. The patient takes a tepid bath before applying the cream. b. The patient spreads the cream using a downward motion. c. The patient applies a thick layer of the cream to the affected skin. d. The patient covers the area with a dressing after applying the cream.
The nurse is teaching health and wellness principles to junior high students. According to Orem's theory, which category of self-care requisite is the nurse using to guide this teaching?
1. Universal 2. Developmental 3. Health deviation 4. Deficit