A woman and her live-in significant other come in the emergency department following a motor vehicle collision. Which finding should alert the nurse to assess for the possibility of domestic violence?
The woman is timid and speaks softly when asked about the accident.
spiral fracture on the woman's arm and wrist.
The woman is hyperventilating and appears to be in pain.
Fresh bruises on the woman's shoulder and chest.
The Correct Answer is B
A. The woman is timid and speaks softly when asked about the accident: Timid behavior may suggest fear or anxiety, but it's nonspecific and may be due to trauma or emotional distress, not necessarily abuse.
B. Spiral fracture on the woman's arm and wrist: Spiral fractures occur from twisting injuries and are often associated with non-accidental trauma, especially when the injury doesn't match the reported mechanism.
C. The woman is hyperventilating and appears to be in pain: Hyperventilation and visible pain may indicate anxiety or physical injury, but they are expected after trauma and not unique to domestic violence.
D. Fresh bruises on the woman's shoulder and chest: Bruising is a possible sign of abuse, but bruises alone can result from a car accident. The type and location must be assessed in context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. Pain scale: Pain is a key symptom of Herpes zoster (shingles), and the effectiveness of treatment is often measured by the relief of pain. The nurse should assess the pain level regularly using a pain scale to evaluate the effectiveness of pain management interventions.
B. Skin integrity: Herpes zoster causes a rash and blisters, and monitoring skin integrity is important to assess for signs of infection, healing, or any new areas of skin breakdown. The healing of the rash and blisters is a key indicator of treatment effectiveness.
C. Bowel sounds: Bowel sounds are not related to the treatment or condition of Herpes zoster. While important in other contexts, they are not a relevant assessment for evaluating the effectiveness of shingles treatment.
D. Functional ability: Functional ability, including the client’s ability to perform activities of daily living, can be impacted by the pain and discomfort associated with shingles. Assessing functional ability helps to gauge the overall impact of the condition and the effectiveness of treatment in improving quality of life.
E. Heart sounds: Heart sounds are not directly related to the treatment of Herpes zoster. This assessment is not necessary for evaluating the effectiveness of shingles treatment unless there are unrelated cardiovascular concerns.
Correct Answer is C
Explanation
A. Iron-rich meats: While iron is essential for preventing anemia, it does not contribute significantly to bone mineral density. These foods are not a primary recommendation for osteoporosis prevention, which focuses on calcium and vitamin D intake.
B. Water and herbal teas: Adequate hydration is important for overall health, but water and herbal teas do not contain the calcium or vitamin D needed to support bone health. They have minimal direct impact on preventing osteoporosis.
C. Low fat dairy products: Low fat dairy products like milk, yogurt, and cheese are rich in calcium and often fortified with vitamin D—both critical nutrients for maintaining bone density and preventing osteoporosis.
D. Fresh fruits and vegetables: Fruits and vegetables provide general nutritional support, but are not the most concentrated sources of bone-building nutrients like calcium. They support health broadly but are not the key dietary focus for osteoporosis.
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