A client who is at 28 weeks' gestation arrives for her first prenatal examination in a wheelchair. What should the nurse include when assessing this client? Select all that apply

1. Signs of physical abuse
2. Evidence of mental abuse
3. Teaching about cesarean birth
4. Reason why prenatal care was delayed
5. Language that would hint toward financial abuse


1, 2, 4, 5
Explanation:
1. Women with disabilities are at greater risk of being victimized and of sustaining intimate partner violence. Women who rely on their partner for assistance with activities of daily living are at risk for physical abuse.
2. Women with disabilities are at greater risk of being victimized and of sustaining intimate partner violence. Women who rely on their partner for assistance with activities of daily living are at risk for mental abuse.
3. Pregnant women who use a wheelchair will not necessarily need a cesarean birth.
4. Women with disabilities are at greater risk of being victimized and of sustaining intimate partner violence. Women who rely on their partner for assistance with activities of daily living are at risk for having care withheld.
5. Women with disabilities are at greater risk of being victimized and of sustaining intimate partner violence. They are also at risk for financial abuse.

Nursing

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Which of the following statements indicates that parents have understood the nurse's teaching with regard to colostomy stoma care for their infant?

1. "We will change the colostomy bag with each wet diaper." 2. "We will use adhesive enhancers when we change the bag." 3. "We will watch for skin irritation around the stoma." 4. "We will expect a moderate amount of bleeding after cleansing the area around the stoma."

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For the client with compulsive hand washing, which outcome indicator can be used to evaluate that

social interaction is occurring? The client a. asks for anxiolytic medication when anxiety increases. b. spends time talking to staff and clients in the lounge area. c. decreases the amount of time spent hand washing. d. sleeps 7 to 8 hours nightly.

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Which lymph node is located in the posterior axillary fold?

1) Horizontal node 2) Subclavian node 3) Suprascapular node 4) Central node

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When administering an enema, always

A. use standard precautions. B. elevate the head of the patient's bed. C. place the patient on the bedpan. D. position the container below the patient's body.

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