A patient being seen for the first time in the perinatal clinic has multiple complaints, such as fatigue, anger outbursts, chronic pelvic pain, and feelings of anxiety. What action by the nurse is best?
A.
Assess the woman for a history of sexual assault.
B.
Document the patient's complaints on the chart.
C.
Refer the woman to a psychiatric nurse practitioner.
D.
Review the woman's past medical history with her.
ANS: A
Women who have been victims of sexual assault often complain of various emotional difficulties, such as depression, anger, anxiety, and gynecologic problems. They are often reluctant to disclose their past history of abuse. When women have these complaints, the nurse should investigate the possibility of sexual assault. Documentation should be thorough; however, this answer is not complete. The patient may or may not need a referral; the nurse needs to assess the patient further. Reviewing past medical history is an important part of assessing a patient, but does not take into account the unique nature of this problem.
You might also like to view...
When prescribed, graduated compression stockings should be worn continuously until the patient is discharged from hospital
Indicate whether this statement is true or false.
Of the following diabetes conditions, which is associated with an autoimmune origin?
A. Diabetes insipidus B. Diabetic ketoacidosis C. Type 1 diabetes D. Type 2 diabetes
The nurse working in the Emergency Department receives a client who fell out of an apartment window onto a post and was transported by Emergency Services with the post still imbedded in the abdomen
The nurse, waiting for the physician to arrive, would: 1. Remove the post from the abdomen. 2. Gently tap on the post to determine how far it is inserted. 3. Secure the post to make sure it is not disturbed. 4. Obtain a signed permission for treatment.
A patient has been diagnosed with multiple sclerosis and experiences spasticity in several muscle groups. What drug would the nurse anticipate will be ordered as the drug of choice to manage spasticity associated with neuromuscular diseases?
A) Dantrolene (Dantrium) B) Baclofen (Lioresal) C) Carisoprodol (Soma) D) Botulinum toxin type B (Myobloc)