A pediatric client has severe injuries to the abdomen. The nurse should suspect child abuse if the parents:
A) Encourage the child to explain the injuries.
B) Appear anxious and concerned.
C) Give a very detailed description of the events preceding the injury.
D) Have delayed seeking treatment for the child's injuries.
D
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A nurse is providing care for a client who has dysphagia secondary to a stroke. The client has recently begun continuous tube feedings in order to meet his nutritional needs
The nurse has assessed the client's gastric residual as ordered and identified a gastric residual volume of 210 ml. How should the nurse follow up this finding? A) Administer an additional 90 to 140 ml of feeding formula. B) Instill 60 to 120 ml of sterile water to dilute the stomach contents. C) Dilute the feedings by 50% with tap water for the next 6 hours. D) Stop the feed until the client's gastric residual is less than 100 ml.
Following trauma to the musculoskeletal or nervous system, complex regional pain syndrome may develop. The nurse would recognize this complication when what is assessed?
1. The patient complains of persistent pain, swelling, and decreased motion. 2. The patient's bone has not healed within the expected time period. 3. The patient complains of leg swelling, pain, tenderness, and cramping. 4. The patient complains of numbness beyond a cast, and toes are pale, with delayed capillary refill.
Providing treatment and rehabilitation for people who have developed disease is part of:
1. primary preventive care. 2. secondary preventive care. 3. tertiary preventive care. 4. primordial preventive care.
The patient shouts at the nurse, "No one answered my call bell all night!" Which response should the nurse use with this patient to restore therapeutic communication?
a. "Shouting is going to disturb other pa-tients.". b. "I see how that would make you very an-gry.". c. "Are you sure the nurses were avoiding you?" d. "The unit has many very sick patients right now.".