When a woman who has been raped is admitted to the emergency department, the nurse caring for the woman knows that the priority nursing intervention is:
1. Explaining exactly what will need to be done to preserve legal evidence.
2. Assuring the woman that everything will be all right.
3. Creating a safe, secure atmosphere for her.
4. Contacting family members.
3
Rationale 1: The legal interventions would not take priority over safety at this time.
Rationale 2: Assuring the woman that everything will be all right is not the first priority nursing intervention in caring for a survivor of a sexual assault.
Rationale 3: The first priority in caring for a survivor of a sexual assault is to create a safe, secure atmosphere.
Rationale 4: Contacting family members is important, but is not the priority nursing intervention.
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