A 25-year-old woman reports to her health care provider's office with reports of having been sexually assaulted by an acquaintance 4 days ago. The woman is concerned about pregnancy. What action is indicated by the nurse?
1. Inform the woman she likely is already pregnant and will not benefit from emergency contraception.
2. Assess the woman's financial resources to obtain the emergency contraception preparation.
3. Determine any potential allergies to the components of the emergency contraception pills.
4. Advise the woman that emergency contraception is administered only in the first 72 hours after the attack.
4
Rationale 1: Advising the woman she is already pregnant may not be correct. In addition, offering this medical counseling is beyond the nurse's scope of practice.
Rationale 2: There is no need to assess for financial resources to obtain the medication.
Rationale 3: There is no need to assess for allergies to obtain the medication.
Rationale 4: Emergency contraception is provided in the first 72 hours after a sexual assault; the patient has passed the window of eligibility.
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