The nurse is assessing an elderly female in the emergency ...

[ericka1]

The nurse is assessing an elderly female in the emergency department. There are many bruises present on her body in varying stages of healing. After documenting the bruising in the assessment, what should the nurse do next?
 
  A) Ask the client when and how the bruises occurred.
  B) Call the nursing supervisor immediately.
  C) Follow the facility's policy and procedures for reporting abuse.
  D) Notify the physician that abuse is suspected.

Question 2

The nurse is assessing a client who has borderline personality disorder. A priority assessment for the nurse is of the client's:
 
  A) Nutrition patterns.
  B) Personal hygiene practices.
  C) Physical functioning.
  D) Somatic complaints.

[Kdiggy]

Answer to Question 1

A
Feedback: The nurse should not assume the bruises were caused by abuse; the client's explanation is an important step in the assessment of potential abuse. A nurse must assess for abuse prior to getting the supervisor and physician involved. Reporting abuse is initiated after a thorough assessment.

Answer to Question 2

A

[ericka1]

Thanks for the timely response, appreciate it

[emsimon14]

Gracias!