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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Free Nursing Study Resources

Correct Answer is A

Explanation

Gloves are typically the first piece of PPE to be removed after providing care. This helps prevent the spread of pathogens from contaminated gloves to other surfaces or body parts. Gloves should be removed carefully to avoid touching the outside surface, which may be contaminated. This should be followed by face shield, gown and mask in that order.

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 has just finished a wound irrigation for a client who requires contact precautions. Which of the following pieces of personal protective equipment (PPE) should the nurse remove first?

Correct Answer is A

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 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?

A nurse is asking a client who has schizophrenia about their cultural and spiritual beliefs. Which of the following is the purpose for collecting this information?

A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a modifiable risk factor for developing a disease?

A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse use to promote this discussion?

A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect?

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 teaching a client who is lactose intolerant. Which of the following statements regarding lactose intolerance should the nurse include in the teaching plan?