You are doing a comprehensive assessment on a new patient who presented to the walk-in clinic with complaints of a fractured right forearm

The patient is found to have bruises in various stages of healing on different areas of her torso. What would be an important part of your assessment of this patient?
A) History of bleeding disorders
B) History of violence in the family
C) Possible violence
D) Hematologic system


Ans: C
Feedback: Asking each woman about violence in her life in a safe environment (ie, a private room with the door closed) is part of a comprehensive assessment and universal screening. In this scenario the woman presents with signs/symptoms that suggest possible abuse. The physician would assess the hematologic system.

Nursing

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A patient who has been diagnosed with human immune deficiency syndrome is given ganciclovir (Cytovene) to prevent cytomegaly virus. The patient develops granulocytopenia

How long will it take for the granulocytes to regenerate after the ganciclovir is discontinued? A) 5 days B) 7 days C) 10 days D) 14 days

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Which of the following will present a professional résumé?

1. Using résumé software and filling in the data requested 2. Using brightly colored paper for the résumé and cover letter 3. Adding graphics such as a picture of a stethoscope to the résumé 4. Asking an experienced nurse to review and edit the résumé

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A patient in the ICU has entered a coma state, and someone must make a decision about whether to continue life-supporting measures for the patient. No living will exists for this patient. Who is the person legally authorized to make this decision?

A) The patient's wife, who is the executor of his estate B) The patient's brother, who is his designated health care proxy C) The patient's physician, who has been managing his care from admittance D) The patient's nurse, who has been assigned to him on a daily basis

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A critically ill patient has developed multiple organ dysfunction syndrome (MODS). What should the nursing goal for management of the patient with impending MODS center on?

A) Early normalization of SvO2 and acid–base balance B) Use of intravenous drotrecogin alfa (Xigris) C) Specific organ system support D) General intensive nursing care

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