An advanced practice nurse is preparing to assess the external genitalia of a 25-year-old American woman of Chinese descent. Which of the following nursing actions does the nurse do first?
a. Place the patient in the lithotomy position.
b. Drape the patient to enhance patient comfort.
c. Assess the patient's feelings and explain the purpose of the examination.
d. Ask the patient if she would like her mother to be present in the room during the examination.
ANS: C
Patients who are Chinese American often believe that examination of the external genitalia is offensive. Before proceeding with the examination, the nurse first determines how the patient feels about the procedure and explains the procedure to answer any questions and to help the patient feel comfortable with the assessment. Once the patient is ready to have her external genitalia examined, the nurse places the patient in the lithotomy position and drapes the patient appropriately. Typically, nurses ask adolescents if they want a parent present during the examination. The patient in this question is 25 years old, so she is not an adolescent. Asking her if she would like her mother to be present is inappropriate.
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