The paramedics bring a patient who has suffered a sexual assault to the ED. What is important for the sexual assault nurse examiner to do when assessing a sexual assault victim?

A) Respect the patient's privacy during assessment.
B) Shave all pubic hair for laboratory analysis.
C) Place items for evidence in plastic bags.
D) Bathe the patient before the examination.


Ans: A
Feedback:
The patient's privacy and sensitivity must be respected, because the patient will be experiencing a stress response to the assault. Pubic hair is combed or trimmed for sampling. Paper bags are used for evidence collection because plastic bags retain moisture, which promotes mold and mildew that can destroy evidence. Bathing the patient before the examination would destroy or remove key evidence.

Nursing

You might also like to view...

A patient has had sotalol (Betapace) ordered for treatment of a ventricular arrhythmia. What will the nurse consider when administering the drug?

A) Sotalol has a very short duration of action B) Food increases the bioavailability of the drug C) Absorption of sotalol is decreased by the presence of food D) The drug is best administered intramuscularly

Nursing

The nurse is conducting a focused respiratory assessment on a 78-year-old client. When collecting the nursing history, the nurse should ask the client about:

1. Past exposure to chemicals and smoking. 2. Usual diet. 3. Elimination habits. 4. Liver infections.

Nursing

The effect of pregnancy on glucose metabolism is to:

a. Enhance the action of insulin, creating a risk of hypoglycemia. b. Cause a woman to convert excess glucose to fat. c. Antagonize insulin, which causes serum glucose to rise. d. Stimulate the storage of excess glucose in the liver.

Nursing

The term used to describe what happens when a parent perceives a child as being especially vulnerable and accesses professional care by describing the child's behaviors and develop-mental level as more problematic than they are is:

1. Physically compromised 2. Functional limitations 3. Developmental stifling 4. Dual diagnosis

Nursing