The nurse is caring for a pregnant woman who has visible hand marks on her neck and suspicious bruises on her trunk. The most appropriate nursing action is to:
A) assure the woman that the bruises will fade in time. B) notify her significant other of suspicions, and record what the significant other says. C) document in the client's chart in brief general terms, to avoid liability. D) report the suspicious assessment findings to local authorities according to facility policy.
D
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The nurse is caring for a hospitalized infant. When the infant begins to cry, the parents report they do not believe in responding too rapidly, as they do not wish to spoil their child
Which response by the nurse is most appropriate? 1. "I agree with your philosophy of child rearing." 2. "There are many studies that support this belief." 3. "Responding quickly to your baby's cries will assist the baby in feeling secure and does not result in a spoiled child." 4. "Children who experience separation anxiety have been spoiled by their parents."
A forest ranger arrives at a community clinic for prophylactic vaccination. Which of the following vaccines would be most important to be administered to the ranger?
A) MMR vaccine B) Varicella vaccine C) Rotavirus vaccine D) Rabies vaccine
A client admitted with iron deficiency anemia has clinical symptoms related to which abnormal laboratory value?
1. Low levels of iron-bound transferrin 2. High levels of iron-bound transferrin 3. High levels of ferritin 4. High hemoglobin level
A patient with a somatic symptom disorder has the nursing diagnosis Interrupted family processes related to patient's disabling symptoms as evidenced by spouse and children assuming roles and tasks that previously belonged to patient
An appropriate outcome is that the patient will: a. assume roles and functions of other family members. b. demonstrate performance of former roles and tasks. c. focus energy on problems occurring in the family. d. rely on family members to meet personal needs.