The nurse is caring for a client who has been identified as a victim of physical abuse. Which action is the priority as the nurse plans care for the client?
A. Notifying the caseworker of the situation
B. Adhering to mandatory abuse reporting laws
C. Removing the client from any immediate danger
D. Obtaining treatment for the abusing family member
Answer: C. Removing the client from any immediate danger
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Antiseptics that may be safely used to cleanse the skin include which of the following? Choose all that apply
a. chlorhexidine gluconate b. formaldehyde c. hydrogen peroxide d. benzalkonium chloride e. phenolic compounds of 5% or more
The nurse is a vital member of the healthcare team. Leadership skills and collaboration are essential to achieving client outcomes. Which of the following are also essential in caring for clients? (Select all that apply.)
a. creativity d. judgmental attitude b. bias e. critical thinking skills c. compassion f. autonomy
The nurse is developing a plan of care for the patient's fourth stage of labor. One nursing intervention is to promote bonding. Specifically, which nursing action will facilitate the bonding process?
a. Encourage the patient to call the baby by his or her first name. b. Stimulate the grasp reflex by placing the patient's finger in the infant's palm. c. Ask the patient if she wants her baby placed on her chest immediately after birth. d. Assess for familial characteristics and remark on the resemblance to the patient or the father.
A patient has the following arterial blood gas (ABG) results. In analyzing the data, the nurse recognizes the patient has what health problem?
1. metabolic acidosis 2. metabolic alkalosis 3. respiratory acidosis 4. respiratory alkalosis