The emergency department nurse is admitting a patient who has been sexually assaulted. The nurse is explaining how the physical evidence will be collected. Which statement made by the patient indicates that teaching has been effective?
1. "All the evidence will be kept in a locked cupboard until the police arrive."
2. "You have to collect evidence to prove I wasn't sexually active."
3. "The evidence you collect might be able to identify the rapist."
4. "I will find out whether the rapist has HIV from the evidence."
3
Rationale 1: The evidence must remain in the hands of the nurse until handed directly to the police.
Rationale 2: Evidence is not collected to determine whether the patient was sexually active previous to the rape. One function of collecting evidence is to corroborate that sexual activity has taken place.
Rationale 3: DNA can be obtained from collected evidence to identify the rapist.
Rationale 4: Diagnosis of infection cannot be made from evidence. Consequently, rape victims are given preventative therapy against sexually transmitted infections (including gonorrhea, syphilis, and HIV) as soon as possible after the assault.
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Select all that apply. 1. Avoid being out of doors during the hours of greatest sun intensity. 2. Use sunscreen if sun exposure is possible. 3. Apply hydrocortisone cream 1% to the rash 4 to 6 times per day. 4. Wash the rash with antibacterial soap three times a day. 5. Swim in a chlorinated pool for relief of burning.
The nurse instructs the client about the use of tacrolimus by instructing her:
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