A woman is being treated in the emergency department after being sexually assaulted. During the collection of evidence, the nurse prepares to collect toxicology from the client
The client questions why this is being done, as she has been the victim of an attack. What information can the nurse provide? 1. The use of the toxicology can assess if the woman was under the influence of drugs at the time of the assault.
2. The toxicology report will enable the authorities to determine if the woman can have a credible recall of the events being reported.
3. The toxicology report will provide the police with information about potential exposure to sexually transmitted infections.
4. The toxicology report can provide information as to whether the woman was drunk at the time of the assault.
The use of the toxicology can assess if the woman was under the influence of drugs at the time of the assault.
Rationale: The use of toxicology can determine if the client was under the influence of drugs at the time of the assault; drugs may hinder the ability of the woman to divert or fight off an attack. The establishment of credibility is not the motivating factor behind the collection of toxicology samples. The presence of alcohol is determined by blood alcohol testing.
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A nurse cares for a client who has a nasogastric (NG) tube. Which actions should the nurse take? (Select all that apply.)
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Decerebrate posturing is present in an unconscious patient following a motor vehicle accident. The nurse expects to see which position in this patient?
accident. The nurse expects to see which position in this patient? 1. The arms and legs are hyperextended and arms are hyperpronated. 2. The arms are folded over the chest and spasms are rhythmic. 3. The arms are pulled inward and the head is turned to the side. 4. The arms and legs have tonic?clonic seizure activity.
When the nurse formulates a goal that "the client will be able to accurately draw up the correct dose of insulin," the nurse recognizes this goal as referring primarily to health teaching in which domain?
a. Changing attitudes b. Psychomotor c. Understanding content d. Promoting acceptance
A patient who has insulin-dependent diabetes mellitus must take a glucocorticoid medication for osteoarthritis. When teaching this patient, the nurse will explain that there may be a need to
a. decrease the glucocorticoid dose. b. decrease the insulin dose. c. increase the glucocorticoid dose. d. increase the insulin dose.