The nurse is caring for a client who is a victim of abuse. If the nurse touches this client, which of the following could occur?
a. The client may see touch as a threat and lash out.
b. The client may become frightened.
c. The client may misinterpret the intent of the touch.
d. The client may think the touch is harmful.
ANS: B
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When assessing the skin of a client with cardiovascular disorder, what do sparse hair growth on the legs and thick toenails indicate?
A) Diseased heart valves C) Varicosities B) Turbulent blood flow D) Poor circulation
Parents of the child with lice infestation should be instructed carefully in the use of antilice products because of which potential side effect?
a. Nephrotoxicity b. Neurotoxicity c. Ototoxicity d. Bone marrow depression
To care for a population that is increasing and aging, a strong and flourishing health care work force is required. Which of the following are true? Select all that apply
1. There is a shortage of nurses. 2. Schools of nursing turned away many qualified applicants due to lack of faculty and limitations of clinical sites. 3. More than one million nurses will be needed by 2012 to replace those who are retiring. 4. More students are choosing laboratory science, pharmacy technology, and radi-ology technology than nursing.
A young man is noticed staggering out of a partially closed doorway to a garage, where a car is running inside. He speaks slowly in a very low voice, telling the nurse that he fell asleep in the car with the engine running
The immediate nursing diagnosis and action for this nurse is: 1. impaired gas exchange. Have the person lie down flat right where he is and begin rescue breathing. If the nurse sees anyone, call for help with CPR. 2. impaired gas exchange resulting from inhalation of carbon monoxide. Lead the patient away from the garage and call for help. Stay with the patient and continu-ally assess LOC and respirations. 3. impaired circulatory perfusion resulting from sulfur dioxide poisoning. Have the patient lie down flat, keep the patient still, and call for help. 4. impaired gas exchange. Have the man breathe deeply and continuously into a brown paper bag. Assess pulse, respirations, and color of conjunctiva. Check the man's pockets for a cell phone to call 911.