An emergency department nurse prepares to assist with evidence collection for a sexual assault victim. Prior to photographs and pelvic examination, what documentation is important?
a. The patient's vital signs
b. Consent signed by the patient
c. Supervision and credentials of the examiner
d. Storage location of the patient's personal effects
B
Patients have the right to refuse legal and medical examination. Consent forms are required to proceed with these steps.
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A nurse came limping into work with a huge cast on her right leg and asked to have an assignment for a week or two that did not require driving. The nurse said, "I never realized how difficult it is to get some places without two good legs
Now I know how persons with disabilities must feel!" Which of the following would be the most appropriate response from the nursing supervisor? a. "I'm sure you'll be even more understanding and supportive now." b. "Not really; you'll be out of that cast in a few weeks." c. "What a great opportunity to attend some support groups for people with disabilities and share with us which ones are most helpful." d. "Why don't you just take some sick leave rather than try to work with that leg cast?"
An older adult client recovering from prostate surgery is waking up frequently during the night. Which client statement supports the nursing diagnosis Disturbed Sleep Pattern?
A) "The pain in my hips is unbearable at times." B) "I walk for half an hour after I eat breakfast." C) "I take my Zoloft as soon as I get up in the morning." D) "I have one cup of regular coffee in the morning."
An elderly client says, "I can't seem to hear as well as I could when I was younger.". The nurse suspects this client is experiencing which of the following disorders?
1. Presbycusis 2. Mastoiditis 3. Otitis media 4. Otitis externa
A patient begins a new program to assist with building social skills. In which part of the plan of care should a nurse record the item "Encourage patient to attend one psychoeducational group daily"?
a. Assessment b. Analysis c. Planning d. Implementation e. Evaluation