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 A

Explanation

Ask the client to bring all the medications and supplements to an interview involves direct visual confirmation of all medications and supplements the client is currently taking. It allows the nurse to verify the actual medications being used, including prescription medications from multiple providers, over-the-counter medications, and supplements.
B. While caregivers can provide valuable information about the client's medication regimen, relying solely on their input may not always be accurate.
C. While it provides information about daily medications, it may not capture medications taken on an as- needed basis or those prescribed intermittently.
D. Inquiring about over-the-counter medications is essential as they can interact with prescribed medications and affect the overall medication regimen. However, this method alone may not capture the entirety of the client's medication regimen, particularly prescription medications from multiple providers.

A. Inform the client that the provider will examine sensitive areas first. B. Make sure the room temperature is cool. C. Explain to the client what is about to happen. D. Provide music as an environmental distraction.

Correct Answer is C

Explanation

Explaining the examination process to the client helps reduce anxiety and uncertainty, especially for older adults who may be unfamiliar with the procedures or have concerns about the examination. Providing clear and concise explanations in a respectful manner allows the client to feel more informed and involved in their care, which can enhance their overall experience and cooperation during the examination.

A, Sensitive areas are preferably examined last

B, Examination should be done in relatively warm environment to ensure comfort for the client

D, Distracting the client can help alley anxiety but is not crucial unless the client requests so.

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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

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?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

A nurse in the emergency department is caring for a client who was sexually assaulted. Which of the following resources will provide the most effective support immediately following the incident?

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