A nurse is preparing to discharge a client who was treated for sexual assault. Prior to discharge, which of the following actions should the nurse plan to take?

Provide the client with grooming supplies and a private area to bathe.

Call the client's home for someone to pick up the client

Retain the client's cell phone for evidence.

Send the client's clothes to the laundry before returning the items to the client.

Answer and Explanation

The Correct Answer is A

A. Provide the client with grooming supplies and a private area to bathe: After evidence collection and medical treatment are complete, allowing the client to bathe in privacy supports their dignity and helps restore a sense of control. This is a therapeutic and appropriate step prior to discharge.
B. Call the client's home for someone to pick up the client: Contacting someone without the client's consent could breach confidentiality and potentially endanger the client, especially if the assailant lives in the same household.
C. Retain the client's cell phone for evidence: The nurse does not have the authority to confiscate personal property like a cell phone. Evidence collection must follow legal protocols, typically involving law enforcement and forensic teams.
D. Send the client's clothes to the laundry before returning the items to the client: The client's clothing may be part of the forensic evidence. Washing or returning them before proper processing would compromise the legal chain of custody.

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Correct Answer is B

Explanation

A. "Metastasis means a group of abnormal kidney cells is localized to a single location.": This describes a localized or primary tumor, not metastasis. Metastasis refers specifically to the spread of cancer cells beyond the original site.
B. "Metastasis occurs when cancerous growths are located in the kidneys and also another part of the body.": Metastasis is the process by which cancer cells break away from the original tumor and spread through the blood or lymphatic system to distant organs. It indicates the presence of secondary tumors outside the kidney.
C. "Metastasis occurs when cancer cells grow until they run out of space and stop growing.": Cancer cells do not stop growing when space runs out; they continue to grow uncontrollably. This statement does not accurately reflect the meaning or mechanism of metastasis.
D. "Metastasis is when a group of kidney cells have changed to more closely resemble intestinal cells.": This describes metaplasia, not metastasis. Metaplasia is a change in cell type due to chronic irritation, not the spread of cancer.

A. The ability to insert an endotracheal tube B. The ability to precept another nurse C. The ability to collaborate as a team member D. The ability to act as charge nurse

Correct Answer is C

Explanation

A. "The ability to insert an endotracheal tube": This competency refers to technical skills in airway management, not to addressing cultural concerns or preferences in care. The ability to insert an endotracheal tube is a skill that does not directly relate to the scenario of cultural sensitivity.
B. "The ability to precept another nurse": While precepting may involve teaching or guiding others, the discussion of gender preferences for care is related to cultural competency and collaboration in a healthcare setting, rather than mentoring another nurse.
C. "The ability to collaborate as a team member.": The scenario described highlights the need for the nurse to work with the provider and the client to address cultural concerns and ensure that the client feels comfortable with their care. Collaboration with the healthcare team is a key competency in providing culturally sensitive care.
D. "The ability to act as charge nurse" Being a charge nurse involves managing a team, but it is not specifically relevant to addressing the client's preferences regarding the gender of the provider. This issue is more about cultural competence and collaboration than charge nurse responsibilities.

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A nurse is preparing to discharge a client who was treated for sexual assault. Prior to discharge, which of the following actions should the nurse plan to take?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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