A client is admitted with injuries sustained from a domestic ...

[Diane]

A client is admitted with injuries sustained from a domestic dispute. When planning care, the nurse will include which short-term interventions?
 
  Select all that apply.
  A) Explore options for self-development.
  B) Improve quality of life by increasing self-esteem.
  C) Explore options for help.
  D) Convey safety.
  E) Determine immediacy of danger.

Question 2

The nurse is preparing to assess a client who has chronic obstructive pulmonary disease (COPD). The client is currently experiencing difficulty breathing. Before palpating the client's abdomen, which action is appropriate by the nurse?
 
  A) Administering 6 L of oxygen to the client
  B) Having the client remain upright
  C) Placing the client in a modified Sims position
  D) Asking the client to bend over a table

[bulacsom]

Answer to Question 1

Answer: C, D, E

Short-term interventions for abuse include determining the immediacy of danger, conveying that the client has the right to be safe, and exploring options for help. Exploring options for self-development and improving the quality of life by increasing self-esteem are long-term interventions for abused adults.

Answer to Question 2

Answer: B

Abdomen palpation is usually done in the supine position, but the client with COPD would not tolerate the position well. The nurse should position the client with the head elevated to the point of comfortable breathing to perform the assessment. Having the client lie in the modified Sims position could compromise the client's ability to breathe effectively. A client with COPD who is experiencing dyspnea would not be asked to bend over the table. Administering an additional 6 L of oxygen is an excessive amount of oxygen to give someone with COPD