The nurse suspects that an older patient has been physically abused. What must be included in the medical workup for this patient?
1. Pelvic examination
2. Toxicological screening
3. Complete blood count and blood chemistries
4. Complete visual examination with clothing removed
4. Complete visual examination with clothing removed
Explanation: 1. A pelvic examination is indicated for suspected sexual abuse.
2. Toxicological screening is indicated for suspected drug abuse.
3. Complete blood count and blood chemistries would be indicated if concerns included neglect reflected by malnutrition and dehydration.
4. If you suspect elder mistreatment or abuse, a complete visual examination of the older person without clothing is necessary. Abusers may strike where clothing hides the resulting bruises. You can protect privacy by assessing the older person's body one area at a time from head to toe.
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