Your presence is requested by law enforcement to assess a 33-year-old female who was sexually assaulted. The patient is conscious and obviously upset. As you are talking to her, you note an impressive amount of blood on her clothes in the groin area. Her blood pressure is 98/58 mm Hg, her pulse is 130 beats/min, and her respirations are 24 breaths/min. You should:
A. visualize the vaginal area and pack the vagina with sterile dressings.
B. allow her to change her clothes and take a shower before you transport.
C. arrange for a rape crisis center representative to speak with the patient.
D. control any external bleeding, administer oxygen, and transport at once.
Answer: D. control any external bleeding, administer oxygen, and transport at once.
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