The nurse is admitting a client at 28 weeks' gestation to the emergency department following an episode of domestic abuse resulting in ecchymosis and lacerations. Which question is most critical to ask?
1. "Do you have a safe place where you can go?"
2. "What did you do to make your spouse so angry?"
3. "How many times has this happened in the past?"
4. "Will you be pressing charges against your spouse?"
1
Explanation:
1. This question is the highest priority because having a safe place to go after leaving the hospital reduces the risk of a repeated attack and further injury to both mother and fetus.
2. This statement is blaming and must be avoided to establish a trusting, therapeutic relationship with an abused client.
3. Although domestic abuse tends to increase in frequency and violence during pregnancy, this is not the highest priority.
4. Legal issues are a low priority at this time. Physiologic issues such as safety in the future have more importance.
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The nurse is providing care to a client who is experiencing pain. Which statement is true about pain?
a. The nurse is the best judge of a client's pain. b. Clients with severe tissue damage will experience more pain than those with less damage. c. Most complaints of pain are psychological. d. Addiction is unlikely when analgesics are carefully administered and closely monitored.
An adolescent diabetic is admitted to the emergency department for treatment of hyperglycemia and pneumonia. What are characteristics of diabetic hyperglycemia?
a. Cold, clammy skin and lethargy b. Hunger and hypertension c. Thirst, being flushed, and fruity breath d. Disorientation and pallor
An example of a food with a low glycemic index is
a. lentil soup. b. a bagel. c. a sports drink. d. corn flakes cereal.
The nurse is collecting data on a child who has been brought to the clinic. The child has urticaria, pruritus, stomach pains, and respiratory symptoms. The nurse recognizes that the clinical manifestations noted in this child are commonly seen in which disorder?
What will be an ideal response?