When a nurse identifies a child who may be abused, or receives information from a teacher that a child may have been abused, the nurse must:
1. Call the police immediately to take the child to a safe place
2. Contact the parents and ask about it
3. Contact the legal authorities as well as the school's principal
4. Examine the child to see if the abuse really occurred
3
It is the law in most states for child abuse or suspected child abuse to be reported.
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The client is having a Weber test. During a Weber test, where should the tuning fork be placed?
A) On the mastoid process behind the ear B) In the midline of the client's skull or in the center of the forehead C) Near the external meatus of each ear D) Under the bridge of the nose
A patient asks the surgical nurse why the anesthesiologist asked if a member of his family ever had hyperthermia during surgery. The nurse responds that malignant hyperthermia is a life-threatening crisis that:
A) is transmitted in an autosomal recessive pattern. B) is transmitted in an autosomal dominant pattern. C) is an X-linked trait. D) is caused by an extra chromosome.
A patient who had a bladder repair following an injury from an automobile accident complains of pain. Which action would be considered an independent nursing intervention that does not re-quire a physician's order?
a. Give an analgesic medication. b. Apply a cold compress to the surgical site. c. Give a muscle relaxant. d. Irrigate the drainage tube.
The client asks the nurse what the first number given in a blood pressure stands for. What is the best response by the nurse?
1. "The first number is the diastolic pressure." 2. "The first number is the heart rate." 3. "The first number is the pulse pressure." 4. "The first number is the systolic pressure."