The nurse is conducting a rape exam on a client in the emergency department after a sexual assault. What specimens will the nurse collect? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Swabs of body stains and secretions
2. Samples of pubic hair
3. Toenail scrapings
4. Samples of head hair
5. Sputum, for disease analysis
1, 2, 4
Explanation: 1. The nurse will take swabs of body stains and secretions to analyze for semen or sperm.
2. The nurse will take pubic hair samples to analyze root structure and identify foreign hairs that might have been transferred from the rapist.
4. The nurse will take head hair samples to analyze root structure and identify foreign hairs that might have been transferred from the rapist.
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A nurse is evaluating the diagnostic study data of a patient with suspected cystic fibrosis (CF). Which of the following test results is associated with a diagnosis of cystic fibrosis?
A) Elevated sweat chloride concentration B) Presence of protein in the urine C) Positive phenylketonuria D) Malignancy on lung biopsy
The client has been confined to bed for 3 months. Which of the following occurrences should the nurse anticipate secondary to this prolonged immobility?
A) Bone demineralization B) Chronic muscle strengthening C) Improved cardiovascular endurance D) Increased joint flexibility
Which option represents the highest level of collaboration?
1. The nurse, physician, and dietician have communicated individually with the client. 2. The nurse, physician, and dietician have all written an individual plan of care and included it in the client's medical record. 3. The nurse and physician have discussed the nutritional needs of the client and have referred the patient to the dietician for a nutritional plan and teaching. 4. The physician wrote a medical order for the nurse to contact dietary for a consult.
A mother is concerned that her newborn doesn't appear to be alert enough to feed and is very irritable. Which of the following data documented in the mother's birth record might contribute to this newborn's behavior?
1. Length of labor was 8 hours. 2. Epidural during labor 3. Blood pressure of 114/82 4. Short second stage of labor