An older client comes to the health center with vague complaints of abdominal discomfort. Assessment findings include several old and fresh bruises in the abdominal area, and signs of malnutrition
What is the most appropriate question for the nurse to ask? 1. "Are you dieting?"
2. "Did you have any falls lately?"
3. "Do you have an alcohol problem?"
4. "Did anyone hurt you?"
4
Rationale: When the nurse suspects abuse, it is important to ask direct questions, such as asking if the client has been hurt by someone. Asking if the client is dieting or has fallen implies that the nurse has made assumptions about the cause of the injuries. An older client, fearful of further abuse, may agree to these suggestions in order to cover up abuse. The question about an alcohol problem carries with it a suggestion that the client is to blame for the injuries.
You might also like to view...
A nurse assesses clients for potential endocrine dysfunction. Which client is at greatest risk for a deficiency of gonadotropin and growth hormone?
a. A 36-year-old female who has used oral contraceptives for 5 years b. A 42-year-old male who experienced head trauma 3 years ago c. A 55-year-old female with a severe allergy to shellfish and iodine d. A 64-year-old male with adult-onset diabetes mellitus
Because ovarian cancer has nonspecific symptoms and can result in lethal outcome, diagnostic testing may be indicated for some women. Which risk factors support the need for screening? Select all that apply
A) Carrying genetic mutation for the disease B) Being nulliparous C) Family history of lung cancer D) Breastfeeding E) Use of oral contraceptives for 5 years or more F) Multiple full-term pregnancies
The advanced nurse practitioner is routinely addressed as "doctor" by clinic patients. What is the best way for the nurse to handle this mistake?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Only allow this practice if the ANP has an earned doctorate. 2. Accept the mistake with good humor and ignore it. 3. Be certain patients are aware that the nurse is not a physician. 4. Ask the patients to address the ANP by first name. 5. Wear a nametag that clearly lists the nurse's credentials as an ANP.
A patient has acetaminophen 650 mg ordered every 4 hours per gastric tube. The acetaminophen syrup is supplied in a 160 milligram per 5-mL concentration
How many milliliters would the nurse administer with each dose? (Round to the nearest tenth) ___________ Fill in the blank(s) with correct word