A 25-year-old victim of rape was brought to the Emergency Department for treatment. The client looks confused and disoriented. Which intervention by the nurse may facilitate communication?
A) Making decisions for the client since confusion and disorientation make decision-making difficult
B) Asking specific questions about the rape to get an accurate history of events
C) Providing support as the client tries to understand how this incident happened
D) Providing reassurance that everything will be fine
C
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Which nurses would be most likely to be protected under the Age Discrimination Employment Act of 1967 if fired?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. A 40-year-old nurse with excellent work history whose replacement is 35 years old 2. A 49-year-old male nurse who held a position in obstetrics 3. A 23-year-old nurse who was told that she was "too young" for the job 4. A 72-year-old nurse who was fired from an OR scheduling position 5. A competent 60-year-old nurse who discovers the nurse hired for his position is 50 years old
The patient is scheduled for an outpatient cholecystectomy (gall bladder removal) in 2 weeks. Based on the patient's history, the nurse includes which of the following in the preoperative plan of care?
a. Tell the patient to avoid smoking on the day of surgery. b. Use a safety razor to shave the abdomen the day before surgery. c. Ask the surgeon to prescribe antibiotics to be given preoperatively. d. Tell the patient to inform the surgeon of allergies and chronic health conditions.
Which of the following would be appropriate interventions for a victim of interpersonal violence? (Select all that apply.)
1. Use a supportive, nurturing approach. 2. Educate the client on how to avoid future incidents of violence. 3. Help the client identify intra- and interpersonal strengths. 4. Distract the client to avoid overwhelming feelings about the situation. 5. Maintain objectivity and offer short, to the point responses.
The postpartum multipara is breastfeeding her new baby. The patient states that she developed mastitis with her first child, and asks whether there is something she can do to prevent mastitis this time. The best response of the nurse is:
1. "Massage your breasts on a daily basis, and if you find a hardened area, massage it towards the nipple to unblock that duct." 2. "Most first-time moms experience mastitis. It is really quite unusual for a woman having her second baby to get it again." 3. "Apply cabbage leaves to any areas that feel thickened or firm to relieve the swelling." 4. "Take your temperature once a day. This will help you to pick up the infection early, before it becomes severe."