The nurse is completing an assessment of a client who was sexually assaulted. What assessment should the nurse conduct last?

Assessment of the lower extremities

Assessment of the posterior thorax

Assessment of the abdomen

Assessment of the genitalia and rectum

Answer and Explanation

The Correct Answer is D

Given the traumatic nature of sexual assault and the potential for re-traumatization, the assessment of the genitalia and rectum should be conducted last. This allows the nurse to build rapport with the client, establish trust, and address any immediate concerns or needs before proceeding with a potentially distressing examination.

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Correct Answer is ["C","D","E"]

Explanation

A. In cases of dehydration, urine output may decrease, resulting in a more concentrated urine that appears darker in color. Therefore, the nurse may expect the urine to be darker in color.
B. Tachycardia is more commonly observed due to dehydration and the body's compensatory mechanisms.
C. Poor skin turgor is a classic sign of dehydration and may be observed in clients with vomiting and diarrhea.
D. Flat neck veins aretypically associated with dehydration. This occurs due to reduced intravascular volume leading to collapse of the veins.
E. Hypotension is commonly associated with dehydration resulting from vomiting and diarrhea. Loss of fluids and electrolytes can lead to decreased blood volume and subsequent hypotension.

A. A client's culture may influence their willingness to follow health recommendations B. Power imbalances between providers and clients assist in bridging cultural differences. C. Cultural groups can have different perceptions of health conditions. D. In some cultures, health care decisions can be made by more than just the Individual client E. Clients from different cultures can vary in how they seek health care services.

Correct Answer is ["A","C","D","E"]

Explanation

A. Cultural beliefs, values, and practices can significantly impact an individual's health behaviors and adherence to medical recommendations.

C. Different cultures may have varied understandings of health and illness, which can affect how they perceive symptoms, seek treatment, and interact with healthcare providers.

D. Healthcare decisions may involve family members, elders, or other community members. Understanding these dynamics is essential for nurses to effectively engage with patients and their families in care planning and decision-making processes.

E. Cultural factors can influence how individuals access and utilize healthcare services. Some cultures may prioritize traditional healing practices or seek care from alternative sources before turning to Western medicine.

B. Power imbalances can actually hinder effective communication and care delivery, especially in cross- cultural encounters

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The nurse is completing an assessment of a client who was sexually assaulted. What assessment should the nurse conduct last?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse manager in a community clinic is planning an in-service to increase staff nurses' knowledge on cultural diversity in health care. Which of the following information should the nurse manager include in the presentation? (Select All that Apply)

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis?

A nurse is interviewing a client who is contemplating a behavior change. According to the processes of Motivational Interviewing, which of the following client behaviors indicates that the nurse has successfully engaged with the client?

A nurse is assessing a 6-year-old child who has experienced violence at school. Which of the following strategies should the nurse use during their assessment of this client

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A nurse is interviewing a client during admission to an alcohol treatment center. Which of the following approaches should the nurse take?

A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take?

During an assessment, the nurse determines that a client sees more than one primary care provider and has obtained prescriptions from each provider. Which method would be most appropriate to determine a client's current medication regimen?

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