The sexual assault nurse examiner at the hospital is an advanced practice nurse with prescription
privileges. The activity that would be outside the scope of practice of this nurse is
a. collecting and preserving evidence.
b. obtaining signed consents for photographs and examinations.
c. providing pregnancy and sexually transmitted disease prophylaxis if the client
wishes.
d. requiring HIV testing of a victim.
D
HIV testing is not mandatory for a victim of sexual assault. The other activities would be included
within the advanced practice role.
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A married couple is seeking counseling for domestic abuse issues. The husband states that he can't control his anger when his wife constantly nags at him. In the assault cycle, the wife's behavior in this situation is the stage known as:
a. Recovery b. Crisis c. Escalation d. Trigger
What interventions should the nurse implement to prevent a pressure ulcer in a critically ill child? (Select all that apply.)
a. Nutrition consults b. Using skin moisturizers c. Turning the child every 2 hours d. Using plastic disposable underpads e. Using draw sheets to minimize shear
The client receiving morphine by epidural catheter for pain control complains of generalized itching. What medication should the nurse have ready for administration?
A. Benadryl (diphenhydramine) B. Narcan (naloxone) C. Phenergan (promethazine) D. Sublimaze (fentanyl)
While assessing a 32-year-old woman new to the clinic, the nurse would perform a subjective assessment of what?
A) Onset of menstruation 13 years or after B) Exercise C) High-protein, low-carbohydrate diet D) History of breast cancer in second-degree (grandmother) relatives