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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Blood urea nitrogen (BUN) 24 mg/dL: This BUN level is slightly elevated but not critical. It may indicate mild dehydration or increased protein breakdown, but it does not require immediate intervention in the context of SIADH.
B. Serum calcium 8.0 mg/dL: This value is at the lower end of normal. While low calcium levels may cause symptoms like muscle cramps or tingling, they are not the most urgent concern in a client with SIADH.
C. Serum potassium 5.0 mEq/L: This value is at the high end of normal. While potassium levels should be monitored, especially in critically ill clients, this level does not require emergency treatment.
D. Serum sodium 125 mEq/L: This sodium level is significantly low and requires immediate intervention. In SIADH, water retention leads to dilutional hyponatremia. A sodium level this low can cause neurologic symptoms such as confusion, seizures, or coma, making it a priority for urgent management.

A. Systemic lupus erythematosus B. Acute HIV C. Chronic HIV D. Discoid lupus erythematosus

Correct Answer is A

Explanation

A. Systemic lupus erythematosus: The butterfly-shaped rash, along with symptoms like fatigue, hair loss, and memory issues, is characteristic of systemic lupus erythematosus (SLE), an autoimmune disease. The rash typically appears across the cheeks and nose and is a hallmark sign of SLE, often triggered by sunlight exposure.
B. Acute HIV: Acute HIV infection may cause symptoms like fatigue, but it typically does not present with the specific butterfly-shaped rash seen in SLE. The rash associated with HIV is generally more generalized and not localized like the characteristic lupus rash.
C. Chronic HIV: Chronic HIV can present with fatigue and other symptoms, but it does not cause the butterfly-shaped rash seen in lupus. HIV-related rashes are more often generalized or occur due to secondary infections, not the distinct butterfly pattern seen in lupus.
D. Discoid lupus erythematosus: Discoid lupus erythematosus (DLE) can cause skin lesions, including facial rashes, but it does not present with the same systemic symptoms (like fatigue, hair loss, and memory issues) as systemic lupus erythematosus. DLE affects only the skin, whereas SLE affects multiple organs.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing care for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and is critically ill. Which of the following lab findings requires immediate intervention?

Correct Answer is D

Explanation

A nurse is completing an assessment on a client who reports severe fatigue, hair loss, and trouble remembering things. The nurse notes a butterfly-shaped rash on the client's face. Which of the following conditions is the client likely experiencing?

Correct Answer is A

Explanation

A nurse is educating a client about the risk factors for GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include?

A patient's arterial blood gas (ABG) results show a pH of 7.35, PaCO2 of 40 mmHg, and HCO3- of 21 mEq/L. What type of acid-base imbalance is present and how would you classify it?

A nurse is providing discharge teaching to a client who had a sickle cell crisis. Which of the following health promotion strategies should the nurse include in the teaching? (Select All that Apply.)

A nurse is teaching a graduating nurse about fluid volume deficit. Which of the following concepts about water balance should the nurse explain to the graduating nurse?

A nurse is reinforcing teaching to a newly licensed nurse about risk factors for subarachnoid hemorrhage (SAH). Which of the following should the nurse include in the teaching?

A nurse is providing discharge instruction to a client who has hypertension that has resulted in a transient ischemic attack (TIA). Which of the following information should the nurse discuss with the client regarding blood pressure (BP) management?