A client who was raped tells the nurse that she must not get pregnant. Which of the following can the nurse respond to this client?

1. "You will not know for sure for at least a few more days.".
2. "There is a medication called Plan B, which is emergency contraception.".
3. "Are you sure the rapist did not use a condom?"
4. "The baby could always be given up for adoption.".


2. "There is a medication called Plan B, which is emergency contraception.".

Rationale:
Female rape victims may request information about emergency contraception if the attacker did not use a condom. Plan B (levonorgestrel) is available over the counter and may be made available to the client at the facility performing the examination following the attack. The nurse should discuss the medication Plan B with the client. The nurse should not tell the client that it will be a few more days to know for sure if she is pregnant. The nurse should not question whether the rapist used a condom. The client does not want to get pregnant. The nurse should not talk about giving a baby up for adoption at t his time.

Nursing

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