A patient who reports having been raped seeks medical attention at the local emergency department. Which action should the nurse take to ensure that evidence is correctly collected from the patient?
1. Report the assault to the police
2. Discuss actions to prevent pregnancy
3. Place the client's clothing in plastic bags
4. Notify the sexual assault nurse examiner (SANE)
4. Notify the sexual assault nurse examiner (SANE)
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After teaching a client who was hospitalized for Salmonella food poisoning, a nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?
a. "I will let my husband do all of the cooking for my family." b. "I'll take the ciprofloxacin until the diarrhea has resolved." c. "I should wash my hands with antibacterial soap before each meal." d. "I must place my dishes into the dishwasher after each meal."
When explaining the methadone maintenance approach to managing the heroin-dependent client, the nurse explains to the client's family that:
a. by stopping heroin use, the client will not engage in criminal activity to support a heroin habit. b. methadone maintenance will prevent withdrawal symptoms, allowing the client minimal discomfort when heroin use is stopped. c. the methadone maintenance will allow the client to slowly taper off the heroine over a period of months and then the client will have a lifestyle closer to normal. d. methadone is used because it is not addicting.
A nursing diagnosis of Risk for Deficient Fluid Volume related to excessive fluid loss, secondary to diarrhea and vomiting was implemented for a home health client who began with these symptoms 5 days ago
A goal was that the client's symptoms would be eliminated within 48 hours. The client is being seen after a week, and has had no diarrhea or vomiting for the past 5 days. The nurse should: 1. Keep the problem on the care plan, in case the symptoms return. 2. Document that the problem has been resolved and discontinue the care for the problem. 3. Assume that whatever the cause was, the symptoms may return, but document that the goal was met. 4. Document that the potential problem is being prevented since the symptoms have stopped.
A client with type 1 diabetes mellitus asks the nurse why they cannot receive insulin in a pill form. Which response should the nurse provide the client?
A. "The cells cannot recognize insulin in that form." B. "The insulin could not be properly absorbed." C. "The stomach acid would destroy the insulin." D. "The action of insulin would be unpredictable."