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NUR417 Exam 3 Questions and Answers with 100%
Complete Solutions UPDATED!!!
A patient describes his involvement in a situation that the nurse
suspects demonstrates the sexual abuse of a child. What is the
nurse's initial response?
A. Verify that the event actually occurred.
B. Consider the negative effects of breeching patient trust.
C. Report the suspected abuse to the appropriate agency.
D. Notify the health care provider of the statemen
Report the suspected abuse to the appropriate agency. Correct
The nurse is legally obligated to report suspected and actual
sexual abuse of children to police or appropriate agencies. All
states have mandatory child abuse reporting statutes. It is not
the nurse’s responsibility to verify the event. The primary
concern is for the child, even if that means compromising
confidentiality.
The nurse caring for an older adult suspects elder abuse. Which
action is appropriate?
A. Collect proof of abuse before notifying the authorities.
B. Confront the caretakers about the suspicion of abuse.
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C. Notify the authorities of the suspected elder abuse.
D. Report the abuse if the older adult gives permission.
C. The nurse is a mandatory reporter of elder abuse and should
notify the authorities of suspected elder abuse.The nurse does
not need proof of abuse before calling the authorities.The nurse
should not confront the caretakers if elder abuse is
suspected.The nurse does not need permission from the elder
before calling the authorities.
You are working with a child and suspect physical abuse. What
is your primary legal responsibility?
A. Document your assessment thoroughly and accurately.
B. Report the abuse to local authorities.
C. Refer the family to support groups.
D. Assist the family in identifying resources and support
systems.
Answer: B - The nurse should report her suspicions to the local
authorities so they can investigate. The law makes it mandatory
to report any suspected child abuse. All other options are
important in dealing with patient and the family, but they
would not be the priority of the nurse.
Which action should the nurse plan to prevent aspiration in a
high-risk patient?
a. Turn and reposition an immobile patient at least every 2
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hours.
b. Place a patient with altered consciousness in a side-lying
position.
c. Insert a nasogastric tube for feeding a patient with high
calorie needs.
d. Monitor respiratory symptoms in a patient who is
immunosuppressed.
b. Place a patient with altered consciousness in a side-lying
position.
With loss of consciousness, the gag and cough reflexes are
depressed, and aspiration is more likely to occur. The risk for
aspiration is decreased when patients with a decreased level of
consciousness are placed in a side-lying or upright position.
We have an expert-written solution to this problem!
An occupational health nurse works at a manufacturing plant
where there is potential exposure to inhaled dust. Which action
recommended by the nurse is intended to prevent lung
disease?
a. Treat workers with pulmonary fibrosis.
b. Teach about symptoms of lung disease.
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c. Require the use of protective equipment.
d. Monitor workers for coughing and wheezing.
c. Require the use of protective equipment.
We have an expert-written solution to this problem!
The nurse monitors a patient in the emergency department
after chest tube placement for a hemopneumothorax. The
nurse is most concerned if which assessment finding is
observed?
a. A large air leak in the water-seal chamber
b. 400 mL of blood in the collection chamber
c. Complaint of pain with each deep inspiration
d. Subcutaneous emphysema at the insertion site
b. 400 mL of blood in the collection chamber
The large amount of blood may indicate that the patient is in
danger of developing hypovolemic shock. An air leak would be
expected immediately after chest tube placement for a
pneumothorax
A patient experiences a chest wall contusion as a result of being
struck in the chest with a baseball bat. The emergency
department nurse would be most concerned if which finding is
NUR417 Exam 3 Questions and Answers with 100%
Complete Solutions UPDATED!!!
A patient describes his involvement in a situation that the nurse
suspects demonstrates the sexual abuse of a child. What is the
nurse's initial response?
A. Verify that the event actually occurred.
B. Consider the negative effects of breeching patient trust.
C. Report the suspected abuse to the appropriate agency.
D. Notify the health care provider of the statemen
Report the suspected abuse to the appropriate agency. Correct
The nurse is legally obligated to report suspected and actual
sexual abuse of children to police or appropriate agencies. All
states have mandatory child abuse reporting statutes. It is not
the nurse’s responsibility to verify the event. The primary
concern is for the child, even if that means compromising
confidentiality.
The nurse caring for an older adult suspects elder abuse. Which
action is appropriate?
A. Collect proof of abuse before notifying the authorities.
B. Confront the caretakers about the suspicion of abuse.
,2|Page
C. Notify the authorities of the suspected elder abuse.
D. Report the abuse if the older adult gives permission.
C. The nurse is a mandatory reporter of elder abuse and should
notify the authorities of suspected elder abuse.The nurse does
not need proof of abuse before calling the authorities.The nurse
should not confront the caretakers if elder abuse is
suspected.The nurse does not need permission from the elder
before calling the authorities.
You are working with a child and suspect physical abuse. What
is your primary legal responsibility?
A. Document your assessment thoroughly and accurately.
B. Report the abuse to local authorities.
C. Refer the family to support groups.
D. Assist the family in identifying resources and support
systems.
Answer: B - The nurse should report her suspicions to the local
authorities so they can investigate. The law makes it mandatory
to report any suspected child abuse. All other options are
important in dealing with patient and the family, but they
would not be the priority of the nurse.
Which action should the nurse plan to prevent aspiration in a
high-risk patient?
a. Turn and reposition an immobile patient at least every 2
,3|Page
hours.
b. Place a patient with altered consciousness in a side-lying
position.
c. Insert a nasogastric tube for feeding a patient with high
calorie needs.
d. Monitor respiratory symptoms in a patient who is
immunosuppressed.
b. Place a patient with altered consciousness in a side-lying
position.
With loss of consciousness, the gag and cough reflexes are
depressed, and aspiration is more likely to occur. The risk for
aspiration is decreased when patients with a decreased level of
consciousness are placed in a side-lying or upright position.
We have an expert-written solution to this problem!
An occupational health nurse works at a manufacturing plant
where there is potential exposure to inhaled dust. Which action
recommended by the nurse is intended to prevent lung
disease?
a. Treat workers with pulmonary fibrosis.
b. Teach about symptoms of lung disease.
, 4|Page
c. Require the use of protective equipment.
d. Monitor workers for coughing and wheezing.
c. Require the use of protective equipment.
We have an expert-written solution to this problem!
The nurse monitors a patient in the emergency department
after chest tube placement for a hemopneumothorax. The
nurse is most concerned if which assessment finding is
observed?
a. A large air leak in the water-seal chamber
b. 400 mL of blood in the collection chamber
c. Complaint of pain with each deep inspiration
d. Subcutaneous emphysema at the insertion site
b. 400 mL of blood in the collection chamber
The large amount of blood may indicate that the patient is in
danger of developing hypovolemic shock. An air leak would be
expected immediately after chest tube placement for a
pneumothorax
A patient experiences a chest wall contusion as a result of being
struck in the chest with a baseball bat. The emergency
department nurse would be most concerned if which finding is
