When caring for the client who has been raped, the nurse considers a referral to:
1. Social Services.
2. Rape counseling.
3. Psychiatrist.
4. Obstetrician.
2
Rationale: Rape counselors are often women who have survived rape and have the resources to provide the long-term follow up and care required by the rape victim. Social Services would most likely refer to a rape counselor. A psychiatrist or obstetrician would not be indicated unless other issues existed.
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A patient is instructed to take diphenhydramine (Benadryl) after an allergic reaction. Which of the following statements by the patient indicates successful teaching concerning the safe and effective use of diphenhydramine?
A) "I will still be able to have my after-dinner drink with this medication." B) "I will eat a diet low in sodium while taking this medication." C) "I should not drive my car after taking this medication." D) "I can take this medication every 2 hours until I feel better."
A nurse assessing a fetal heart monitor notes minimal baseline variability not associated with a fetal sleep cycle. There is no change after fetal scalp stimulation. What action by the nurse is most important?
A. Administer a bolus of IV fluids. B. Administer oxygen at 8-10 L/min per mask. C. Offer support to the patient and her partner. D. Prepare to assist with internal fetal monitoring.
A nurse is preparing a teaching session for a group of parents with children newly diagnosed with attention deficit/hyperactivity disorder (ADHD)
When explaining this disorder to the parents, which of the following would the nurse include as being involved? Select all answers that apply. A) Impulsivity B) Inattention C) Distractibility D) Hyperactivity E) Defiance F) Anxiety
A nurse is admitting a child with Crohn disease. Parents ask the nurse, "How is this disease different from ulcerative colitis?" Which statement should the nurse make when answering this question?
a. "With Crohn's the inflammatory process involves the whole GI tract." b. "There is no difference between the two diseases." c. "The inflammation with Crohn's is limited to the colon and rectum." d. "Ulcerative colitis is characterized by skip lesions."