When assessing a client for possible abuse, which of the following would most likely indicate that the client is a victim of abuse?
A) Repeated emergency department visits for injuries
B) Poor or no prenatal care
C) History of alcohol abuse
D) Failure to gain weight in pregnancy
A
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The similarities between the Omaha System and the NANDA-I taxonomy are that both contain which of the following?
a. Evaluation tools expressed in standardized language b. Nursing diagnoses expressed in standardized language c. Diagnoses, outcomes, and interventions d. Labels that are intended for use in any healthcare setting
Which statement about nicotine and smoking is accurate?
a. Cigars contain higher doses of nicotine than cigarettes. b. Tolerance to nicotine takes days to devel-op. c. Sidestream smoke contains more toxic compounds than mainstream smoke. d. The harsher smoke of pipes and cigars is more hazardous than cigarette smoke.
Following a head injury, an unconscious 32-year-old patient is admitted to the emergency department (ED). The patient's spouse and children stay at the patient's side and constantly ask about the treatment being given. What action is best for the nurse to take?
a. Ask the family to stay in the waiting room until the initial assessment is completed. b. Allow the family to stay with the patient and briefly explain all procedures to them. c. Call the family's pastor or spiritual advisor to support them while initial care is given. d. Refer the family members to the hospital counseling service to deal with their anxiety.
If a patient with third-degree burns covering 40% of the body surface area suddenly exhibits high blood pressure and edema and is not producing urine, he or she has probably developed
a. severe malnutrition. b. nephrotic syndrome. c. chronic renal failure. d. acute renal failure.