A nurse working with a client with rape-trauma syndrome should correctly teach the client that "normal" reactions of friends and family members may include all EXCEPT which of the following?
a. guilt for not preventing the assault
b. desire for revenge against the rapist
c. physically reenacting the assault
d. anger at the client for being assaulted
C
Friends and family members' reactions to a woman being raped would include guilt for not preventing the assault, a desire for revenge, or anger at the client for being assaulted. Physically reenacting the assault is not a response of family members and friends.
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A parent is concerned about her eight-year-old child's recent behavior and calls the nurse for advice. According to the parent, her child is constantly crying, is not sleeping well, and has withdrawn from activities
The nurse should recognize that this behavior could be a response to: 1. Bullying. 2. Normal behavior for the age. 3. Lead poisoning. 4. Drug abuse.
Which nursing intervention should the nurse use to determine that the IV fluid is infusing into the vein properly?
1. Open roller clamp and watch fluid infuse for 5 minutes. 2. Lower IV bag to the floor and observe for blood return. 3. Disconnect IV tubing at the hub and watch for blood leakage. 4. Observe if infusion ceases when the vein is gently compressed.
A person's height is measured at 4 feet 3 inches during a well-child visit. The same child was measured at 3 feet 10 inches during the previous visit. How much did the child grow between visits?
(A) 5 inches (B) 4 inches (C) 3 inches (D) 2 inches
A patient is about to receive penicillin G for an infection that is highly sensitive to this drug
While obtaining the patient's medication history, the nurse learns that the patient experienced a rash when given amoxicillin (Amoxil) as a child 20 years earlier. What will the nurse do? a. Ask the provider to order a cephalosporin. b. Reassure the patient that allergic responses diminish over time. c. Request an order for a skin test to assess the current risk. d. Suggest using a desensitization schedule to administer the drug.