The practical nurse (PN) is assisting with data collection for clients who have been admitted to the emergency department. What clients should the PN report to the nurse for further intervention for possible family violence? Select all that apply.
A same-sex partner who broke her arm during a volleyball game.
A 3-year-old with multiple old fractures of the arms and torso.
A married man with multiple bruises to his hands and face.
A homeless man whose clothing is soiled and has a foul-smelling body odor.
An older adult with a skull fracture that occurred in an automobile collision.
Correct Answer : B,C
A. A broken arm from a volleyball game is an injury that is not necessarily indicative of family violence; it appears to be an accident.
B. Multiple old fractures in a young child may indicate possible abuse or family violence, as this pattern is concerning for potential neglect or physical harm.
C. Multiple bruises on the hands and face of a married man may suggest a pattern of domestic violence, which should be reported for further assessment.
D. Soiled clothing and foul body odor may indicate poor living conditions but are not specific indicators of family violence.
E. A skull fracture from an automobile collision is likely an accident, not necessarily indicative of family violence unless further evidence suggests abuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Follow-up urine tests are essential to ensure that the UTI is fully resolved and to check for any potential recurrence or complications.
B. The full course of antibiotics must be completed even if symptoms improve. Refiling antibiotics should only be done based on a healthcare provider's recommendation, not symptom persistence.
C. For females, the correct wiping technique is from front to back to avoid introducing bacteria from the anus to the urethra, so this statement is incorrect.
D. Antibiotics should be taken for the entire prescribed duration to completely eradicate the infection, not just until symptoms improve.
Correct Answer is ["B","E"]
Explanation
A. Urinalysis is not directly related to evaluating the effectiveness of an antibiotic for a respiratory tract infection.
B. Sputum culture and sensitivity are crucial in determining the specific bacteria causing the infection and assessing the antibiotic’s effectiveness in eradicating the pathogen.
C. Prothrombin time is related to blood clotting and is not relevant to monitoring the effectiveness of an antibiotic for a respiratory infection.
D. Serum potassium is important for monitoring electrolyte balance but does not directly evaluate the effectiveness of an antibiotic.
E. White blood cell count is a key indicator of infection and inflammation; a decrease in WBC count suggests that the antibiotic is effectively combating the infection.
F. Capillary glucose monitoring is more relevant to diabetic management and is not used to evaluate antibiotic effectiveness.
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