At a prenatal visit, a primigravida client confides to the practical nurse (PN) that her partner is abusive.
Which information should the PN provide?
Contact information for a women's shelter.
Safety plan to keep in a purse at all times.
Visit summary documenting the report of abuse.
Paperwork needed to file a restraining order.
The Correct Answer is A
When a primigravida client confides in the practical nurse (PN) about being in an abusive relationship, the primary concern is the safety and well-being of the client and her unborn child.
Providing contact information for a women's shelter is the most appropriate response in this situation. Women's shelters provide a safe haven for individuals experiencing domestic violence and can offer immediate assistance, including shelter, counseling, legal support, and other resources.
In situations involving domestic violence, it is essential to prioritize the safety and well-being of the individual experiencing abuse. Connecting them with resources like women's shelters can provide the necessary support and assistance they need to escape the abusive relationship and protect themselves and their unborn child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["13"]
Explanation
gtt/min = (mL/hr x gtt/mL) / 60
Plugging in the given values, we get:
gtt/min = (50 x 15) / 60
gtt/min = 750 / 60
gtt/min = 12.5
Rounding to the nearest whole number, the answer is 13.
Correct Answer is D
Explanation
- Capillary refill time is a test that measures how quickly the blood returns to the tissues after pressure is applied and released on a nailbed or a fingertip. It is an indicator of peripheral circulation and tissue perfusion.
- To perform the capillary refill test, the examiner should press firmly on the nailbed or fingertip for a few seconds, then release the pressure and observe how long it takes for the normal color to return. The normal capillary refill time is less than 2 seconds .
- In the photo, the practical nurse (PN) applies and then releases pressure to a client's fingernail. Normal nail color returns in 2 seconds, which indicates a normal capillary refill time and adequate peripheral circulation. This is a normal and expected finding that does not require any further action, except for documentation.
- Therefore, option D is the correct answer, as it reflects the appropriate and standard nursing practice of documenting any assessment findings in the client's chart. Option D also implies that the PN does not need to report, observe, or repeat anything else related to the capillary refill test, as it was done correctly and yielded normal results.
- Options A, B, and C are incorrect answers, as they do not reflect the appropriate or necessary actions for the PN to take after performing a normal capillary refill test.
Option A is incorrect because there are no abnormal findings to report to the charge nurse, as the capillary refill time was normal.
Option B is incorrect because blanching of the nailbed is what happens when pressure is applied, not when
it is released, and it is not an abnormal finding.
Option C is incorrect because repeating the process with a different nailbed is not necessary, as the capillary refill time was normal on the first nailbed.
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