When evaluating the care given a battered woman, the nurse analyzes care plan components to see whether: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Compassionate, respectful care was delivered.
2. The woman has the necessary information to make decisions.
3. Medical records are deliberately vague.
4. Psychological care was given in the hospital.
5. The woman identifies culturally appropriate resources.
1,2,5
Rationale 1: One expected outcome of nursing care is that the woman receives compassionate, respectful care.
Rationale 2: One expected outcome of nursing care is that the woman has the information she needs to make a decision about her future based on thoughtful consideration of alternatives.
Rationale 3: Expected outcomes include all necessary documentation, so that if the woman chooses to apply for a restraining order or to prosecute her assailant, the information is available.
Rationale 4: Psychological care would be given, if needed, in a community setting.
Rationale 5: Two expected outcomes of nursing care are that the woman is able to identify culturally appropriate community resources available to her and develops strategies for keeping herself, her children, and her family as safe as possible.
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Transillumination is performed during an examination of the lymphatic system to:
a. detect lymphatic pulsation. b. distinguish nodes from cysts. c. evaluate nodal contours. d. observe erythematous lesions.
Why is the nursing diagnosis of Risk of Injury related to blood transfusions? Select all that apply
1. Risk of transfusion reactions 2. Risk of disease transmission 3. Risk of fluid overload 4. Risk of transfusion-related lung injury 5. Risk of iron overload
The parents of a 9-month-old child who has been diagnosed with coarctation of the aorta are anxious to have the defect repaired quickly. The nurse's best response will be based on the knowledge that:
a. The repair can be done when the child has tripled the birth weight b. The repair will be done in stages over a period of several months c. Repair at such an early age will almost assure recurrence d. Surgical repair is the only option
When choosing an IV site on an elderly patient, you should:
A. know that varicose veins allow minimal circulation. B. always cannulate veins in the antecubital fossa. C. choose a vein that weaves back and forth. D. cannulate a sclerosed vein since it is less likely to infiltrate.