When assessing an older patient admitted to the emergency department (ED) with a broken arm and facial bruises, the nurse observes several additional bruises in various stages of healing. Which statement or question by the nurse is most appropriate?
a. "Do you feel safe in your home?"
b. "You should not return to your home."
c. "Would you like to see a social worker?"
d. "I need to report my concerns to the police."
ANS: A
The nurse's initial response should be to further assess the patient's situation. Telling the patient not to return home may be an option once further assessment is done. A social worker may be appropriate once further assessment is completed.
You might also like to view...
Spermatogenesis occurs in response to what hormone?
A) Luteinizing hormone (LH) B) Gonadotropin-releasing hormone (GnRH) C) Follicle-stimulating hormone (FSH) D) GfRH
While assessing a patient with urosepsis, the ICU nurse notes the patient's BP is 80/54; HR 132; RR 24; and pulse oximetry 89% on 6 lpm O2
Over the last hour, the patient's urine output is 15 mL. When explaining to a new graduate nurse, the nurse will emphasize that the patient's status may relate to that A) the infection is deep inside the kidney, and it will take a long time for the antibiotics to kill the bacteria. B) the patient's sympathetic nervous system has been stimulated that has resulted in vasoconstriction of the afferent arteriole, which causes a decrease in renal blood flow. C) the glomerular filtration system gets overwhelmed in times of stress (like infections) and can become clogged with waste material from the bacteria. D) the ability to transport substances from the tubular fluid into the peritubular capillaries becomes impaired, which results in fluid being forced out of capillaries into the glomerulus.
A patient is admitted to the unit for an autologous bone marrow transplant. During teaching, the nurse would tell the patient that the bone marrow for transplant will come from
a. an anonymous donor. b. her closest living relative. c. her own marrow. d. a friend.
A group of nursing students are reviewing information about adrenergic blockers in preparation for an examination. The students demonstrate understanding of the information when they identify which of the following as an a/b-adrenergic blocker?
Select all that apply. A) Phentolamine B) Bisoprolol C) Nadolol D) Carvedilol E) Labetalol