The nurse working in the emergency department is aware that rape victims initially exhibit which emotions? Select all that apply
A) Shock
B) Disbelief
C) Anger
D) Self-blame
E) Denial
Answer: A, B, E
Initial responses to rape generally include feelings of shock, denial, and disbelief. Anger and self-blame are early responses but not typically the initial response.
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A male client with bipolar disorder who takes lithium tells the nurse that he has been "nauseous a lot lately," feels tired, and has had "some blurry vision." The client most likely is suffering from what level of lithium toxicity?
a. Insignificant b. Mild c. Moderate d. Severe
The nurse is providing discharge teaching for a client who has just undergone laparoscopic cholecystectomy surgery. Which statement by the client indicates understanding of the instruc-tions?
a. "I will drink at least 2 liters of fluid a day." b. "I need a diet without a lot of fatty foods." c. "I should drink fluids between meals ra-ther than with meals." d. "I will avoid concentrated sweets and simple carbohydrates."
A patient undergoing treatment for cancer is admitted to the burn unit. To support this patient's nutritional needs, the nurse should:
1. Discuss nutritional needs with a dietitian to ensure all physiological needs are met. 2. Plan to provide extra protein to support the burn injuries. 3. Monitor the patient for signs of deteriorating nutritional status. 4. Restrict protein while increasing calories.
Only doctors can:
a. Insert oropharyngeal airways b. Suction oropharyngeal airways c. Insert endotracheal tubes d. Perform tracheostomies