Which option is an example of a question and statement regarding violence a nurse should use in the assessment of all patients?
1. "Do you feel safe in your home?"
2. "Most violence involves physical abuse."
3. "Violence is rare in upper middle class families."
4. "Don't take your safe home environment for granted."
1
Rationale: This question is a good way to begin discussion of violence. All patients should be assessed for the presence of domestic violence or abuse.
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What statement is descriptive of most cases of hemophilia?
a. X-linked recessive deficiency of platelets causing prolonged bleeding b. X-linked recessive inherited disorder in which a blood clotting factor is deficient c. Autosomal dominant deficiency of a factor involved in the blood-clotting reaction d. Y-linked recessive inherited disorder in which the red blood cells become moon shaped
You are teaching a patient about antihypertensive therapy. Which statement by the patient indicates the need for more teaching?
a. "Now that my blood pressure is normal, I won't need to take my medication anymore." b. "When I take my blood pressure at home, I always try to take it at just about the same time every day." c. "I check the labels on cans and other food packages to be sure they do not have too much sodium." d. "I hope that by continuing to lose weight, I might not have to take medications to manage my high blood pressure."
A client expresses a feeling of pain during the palpation of the scrotum. The nurse notes that when the scrotum is lifted, the pain is relieved. Which condition should the nurse suspect?
A. Orchitis. B. Pilonidal cyst. C. Epididymitis. D. Testicular tumor.
An elderly female patient who is bedridden is admitted to the unit because of a pressure ulcer that can no longer be treated in a community setting
During your assessment of the patient, you find that the ulcer extends into the muscle and bone. At what stage would document this ulcer? A) I B) II C) III D) IV