A young child, diagnosed with Autism, has sustained multiple minor injuries over the past year. Brought in by his grandmother, she states, “my daughter says he fell down the stairs again. I know he doesn’t understand dangers sometimes”. When would you suspect chronic physical abuse? 

You are a home care nurse conducting your first home visit. Your patient is an 80-year-old man living alone. Which assessment finding might indicate older adult self-neglect? 

Which client question/statement, made about one half (½) hour before a scheduled ECT treatment, would result in cancellation of the treatment?

One of the goals of a therapeutic community is for clients to become more independent and accept self-responsibility.  By incorporating caring interventions, the nurse knows that which of the following approaches by staff would best encourage fulfillment of this goal?  

What are some signs and symptoms assessed in the client actively withdrawing from opiates?

A woman presents to the ED with multiple cuts and abrasions. Her right eye is swollen shut, tearing, and bruised. Upon further assessment and questioning, she states that her husband did this to her.  What is the PRIORITY nursing intervention at this time?

What is represented by the P wave on the EKG tracing?

The nurse is planning care for a client who was admitted to the hospital after threatening to harm himself when he was stopped by the police for speeding. He is diagnosed with alcoholism, depression, and anxiety. Which of the following ordered medications does the nurse question administering to the client? 

The nurse administers thiamine to the alcoholic client receiving intravenous D5W. What condition is the thiamine used to prevent in alcoholic clients? 

After collaboration with unit staff, the nurse understands that the use of 4-point restraints would be appropriate for which of the following clients? SELECT ALL THAT APPLY.