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Terms in this set (70)
A patient tells the nurse C
that he is very nervous,
that he is nauseated, and
that he "feels hot." This
type of data would be:
a.) Objective
b.) Reflective
c.) Subjective
d.) Introspective
When considering priority A
setting of problems, the
nurse keeps in mind that
second-level priority
problems include which of
these aspects?
a.) Abnormal laboratory
values
b.) Low self-esteem
c.) Lack of knowledge
d.) Severely abnormal vital
signs
,When reviewing the use of D
alcohol by older adults,
the nurse notes that older
adults have several
characteristics that can
increase the risk of
alcohol use. Which would
increase the bioavailability
of alcohol in the blood for
longer periods of time in
the older adult?
a.) Decreased blood
pressure
b.) Increased muscle mass
c.) Increased cardiac
output
d.) Decreased liver and
kidney functioning
The nurse is aware that B
intimate partner violence
(IPV) screening should
occur with which
situation?
a.) When IPV is suspected
b.) As a routine part of
each health care
encounter
c.) When a woman has an
unexplained injury
d.) When there is a known
history of abuse in the
family
,The nurse is assessing D
bruising on an injured
patient. Which color
indicates a new bruise that
is less than 2 hours old?
a.) Purple-blue
b.) Brownish-yellow
c.) Greenish-brown
d.) Red
The nurse suspects abuse A
when a 10-year-old child is
taken to the urgent care
center for a leg injury. The
best way to document the
history and physical
findings is to:
a.) use the words the child
has given to describe how
the injury occurred
b.) write what the child's
caregiver tells the nurse
c.) write what the nurse
observes during the
conversation
d.) rely on photographs of
the injuries
, As a mandatory reporter D
of child abuse, which of
these must be present
before a nurse notifies the
authorities?
a.) Verification from the
victim
b.) Proof of abuse and/or
neglect
c.) Statements from
witnesses
d.) Suspicion of child
abuse and/or neglect
During a nutritional B
assessment of a 22-year-
old male refugee, the
nurse must remember to:
a.) obtain a 24-hour
dietary recall
b.) clarify what is meant by
the term "food."
c.) provide him with a
standard dietary
handbook
d.) assume that his diet is
consistent with other
refugees from the same
country