An adolescent with a gunshot wound presents to the emergency department with his distraught parents. He states that he saw a classmate shoot his teacher and several other students
As a result of the shooting incident, the nurse expects this adolescent to be at risk for which disorder? 1. Conduct disorder
2. Depression
3. Post-traumatic stress disorder
4. School phobia
3
Rationale 1: Conduct disorder could possibly occur later.
Rationale 2: Depression could possibly occur later.
Rationale 3: Acute stress, parental stress, and the degree of the psychological trauma exposure are variables predictive of post-traumatic stress disorder (PTSD).
Rationale 4: School phobia could possibly occur later.
Global Rationale:
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A nurse observes a student nurse examining a newborn baby boy's scrotum and testicles. The student softly palpates the scrotum with all five digits of the dominant hand and states that there is only one testicle present
What action by the nurse is best? A. Ask the parents if this is a familial trait seen in male family members. B. Call the health-care provider and request a urology consult. C. Have the student repeat the exam using the proper technique. D. Perform the exam himself or herself and document the findings.
The spinal cord injury patient has paralysis of all extremities and bowel and bladder disturbance. The nurse recognizes the injury as most likely occurring at what vertebral level?
a. C1 to C2 b. C3 to C4 c. C2 to C7 d. C4 to C7
Which vitamin A-rich foods are recommended for lactating women?
a. Eggs and liver b. Hamburgers and fries c. Apples and grapes d. Steak and baked potatoes
The nurse is caring for a client with mitral valve stenosis. What clinical manifestation alerts the nurse to the possibility that the client's stenosis has progressed?
a. Oxygen saturation of 92% b. Dyspnea on exertion c. Muted systolic murmur d. Upper extremity weakness