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Concepts in Nursing Practice

Medical-Surgical Nursing, 10th Ed., Lewis, Dirksen, Heitkemper & Bucher

Section 1 Bloody/Torn Undergarments

During your assessment of a suspected child abuse patient, which of the following is most likely to be seen?

Child Abuse

Child and Elder Physical Abuse Assessment

Delay in Treatment

During your assessment of a patient with suspected abuse, which of the following is most likely to be seen?

Elder Abuse

Inconsistent Injuries

Overmedication

During your assessment of a suspected elder abuse patient, which of the following is most likely to be seen?

Physical Abuse

Poor Hygiene

Sexually Transmitted Infection

Shaken Baby Syndrome

Which of the following is most likely a commonly found condition associated with child abuse?

Symmetrical Burns

During your assessment of a suspected child abuse patient, which of the following wounds would most likely be seen?

Various Stages of Healing

Assessment

Balanced Diet

Which of the following is most likely indicated in a patient with immobility?

Cardiovascular

Immobility causes a decrease in circulating fluid and a decrease in autonomic response, thereby primarily affecting the _______ system.

Complications

Considerations

Fluids

Gastrointestinal

Immobility causes constipation from a slowing of peristalsis, thereby primarily affecting the _______ system.

Immobility

Integumentary

Immobility causes a higher risk of skin breakdown and pressure ulcer formation, thereby primarily affecting the _______ system.

Mobility Continuum

Which of the following most likely helps to determine plan of care and education for different patient mobilities?

Musculoskeletal

Immobility causes muscle atrophy, thereby primarily affecting the _______ system.

Range of Motion (ROM)

Respiratory

Immobility causes slower and more shallow respiratory rates, thereby primarily affecting the _______ system.

Skin Care

Which of the following is an important aspect of caring for  a patient with immobility?

Turn, Cough, Deep Breathe (TCDB)

Urinary

Immobility causes an increased risk of UTIs, thereby primarily affecting the _______ system.

Anergia

Which of the following clinical findings best describes the physical changes typically seen in major depression?

Anger and Irritability

Which of the following clinical findings best describes the mood changes typically seen in major depression?

Cognitive

Decreased Libido

Depression Assessment

Guilt

Ineffective Problem Solving

Which of the following clinical findings best describes the cognitive changes typically seen in major depression?

Mood

Physical Changes

Sad Affect

Self Neglect

Slowed Thinking

Vegetative Signs

Worthlessness

During Emergency

In which of the following situations should restraints most likely be used on a patient?

For Limited Time

Which of the following time periods most likely describes how long restraints should be used on a patient?

Frequent Observation

Which of the following is the most likely consideration associated with the use of restraints?

Last Resort

May Further Agitation

Obtain Order Within 1 Hour

What is the time frame for obtaining orders for restraints?

Protecting From Harm

Which of the following most likely describes the purpose of using restraints on a patient?

Quick-Release Tie

Which method should be used when applying restraints?

Use Guidelines

Use of Restraints

5 - Chronic Illness and Older Adults

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