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Author Question: A 35-year-old married woman who works full time in a factory has recently been absent for 3-day ... (Read 249 times)

magmichele12

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A 35-year-old married woman who works full time in a factory has recently been absent for 3-day
  periods on several occasions. Each time she returned to work wearing dark glasses. Facial and body
  bruises were apparent.
 
  Her supervisor became suspicious that she was a victim of battering and
  referred her to the occupational health nurse. The assessment priority when the nurse interviews the
  client is
  a. leisure skills.
  b. work habits.
  c. physical injuries.
  d. socialization skills.

Question 2

A client admitted for treatment of trauma sustained in a fall while intoxicated believes bugs are
  crawling on the bed. The client is anxious, agitated, and diaphoretic.
 
  While the client is experiencing
  sensory perceptual disturbances and clouded sensorium, the nursing intervention that should be
  instituted is
  a. checking the client every 15 minutes.
  b. providing one-on-one supervision.
  c. keeping the room dimly lit.
  d. rigorously encouraging fluid intake.



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ynlevi

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Answer to Question 1

C
The woman has been referred to be assessed for possible battering. Physical injuries are abuse
indicators and are the primary focus for assessment. No data support the other options.

Answer to Question 2

B
One-on-one supervision will be necessary to promote physical safety until sedation reduces the
client's feelings of terror. Option A: Checks every 15 minutes would not be sufficient to provide for
safety. Option C: A dimly lit room promotes illusions. Option D: Excessive fluid intake can cause
overhydration because fluid retention normally occurs when blood alcohol levels fall.




ynlevi

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