A 32-year-old woman brought to the emergency department reports being sexually assaulted. The patient is confused about where she is and she has a large laceration above the right eye. Which action should the nurse take first?
a. Assess the patient's neurologic status.
b. Assist the patient to remove her clothing.
c. Contact the sexual assault nurse examiner (SANE).
d. Ask the patient to describe what occurred during the assault.
Question 2A 48-year-old woman in the emergency department reports that she has been sexually assaulted. Which action by the nurse will be most important in maintaining the medicolegal chain of evidence?
a. Labeling all specimens and other materials obtained from the patient.
b. Assisting the patient in filling out the application for financial compensation.
c. Discussing the availability of the morning-after pill for pregnancy prevention.
d. Educating the patient about baseline sexually transmitted infection (STI) testing.
Question 3An 18-year-old requests a prescription for birth control pills to control severe abdominal cramping and headaches during her menstrual periods. Which should the nurse take first?
a. Determine whether the patient is sexually active.
b. Teach about the side effects of oral contraceptives.
c. Take a personal and family health history from the patient.
d. Suggest nonsteroidal antiinflammatory drugs (NSAIDs) for relief.
Question 4Which action should the nurse take when a 35-year-old patient has a result of minor cellular changes on her Pap test?
a. Teach the patient about colposcopy.
b. Teach the patient about punch biopsy.
c. Schedule another Pap test in 4 months.
d. Administer the human papillomavirus (HPV) vaccine.
Question 5A 31-year-old patient has just been instructed in the treatment for a Chlamydia trachomatis vaginal infection. Which patient statement indicates that the nurse's teaching has been effective?
a. I can purchase an over-the-counter medication to treat this infection.
b. The symptoms are due to the overgrowth of normal vaginal bacteria.
c. The medication will need to be inserted once daily with an applicator.
d. Both my partner and I will need to take the medication for a full week.