The nurse in an emergency department admits a 17-year-old girl who is complaining that she has a gap in her memory of the previous night. She says she only had one drink but felt dizzy and disoriented.
She woke up in a friend's bed but has no recollection of getting there. What would be the first action the nurse should take?
A) Call Social Services to counsel her about blackouts related to alcohol abuse.
B) Call Neurology so they can see her to rule out a neurologic impairment.
C) Have the patient call her parents to get their permission to treat and counsel her.
D) Complete a rape kit in case she has been abused while under the influence of Rohypnol.
Question 2
The caregiver of a child with a history of ear infections calls the nurse and reports that her son has just told her his urine looks funny. He also complains of a headache and his mother reports his eyes are puffy.
Although he had a fever 2 days ago, his temperature now is down to 100 Fahrenheit. The nurse encourages the mother to have the child seen by the care provider because the nurse suspects the child may have:
A) a urinary tract infection
B) lipoid nephrosis (idiopathic nephrotic syndrome)
C) acute glomerulonephritis
D) rheumatic fever
The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi
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