When should intimate partner violence (IPV) screening occur?

Only when a client presents with an unexplained injury.

As soon as the clinician suspects a problem.

Once the clinician confirms a history of abuse.

As a routine part of each health care encounter.

Answer and Explanation

The Correct Answer is D

A. Only when a client presents with an unexplained injury: Waiting for physical signs misses many victims, especially those experiencing emotional or sexual abuse without visible injuries.

B. As soon as the clinician suspects a problem: While suspicion should prompt further evaluation, relying on suspicion alone delays early detection and intervention for many at-risk individuals.

C. Once the clinician confirms a history of abuse: Screening is a preventive tool used to detect abuse early; waiting for confirmation defeats the purpose and allows ongoing harm.

D. As a routine part of each health care encounter: Routine screening normalizes the process, reduces stigma, and increases the likelihood of identifying and helping those experiencing IPV.

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Correct Answer is B

Explanation

A. Serum amylase levels: Serum amylase is helpful in detecting pancreatitis but is not the most immediate concern with symptoms of fatigue, anorexia, and tachypnea. A CBC is more relevant to evaluate possible anemia or infection.

B. Complete blood count: A CBC is crucial to assess for anemia, infection, or other hematologic issues, which could be causing the client's malaise, fatigue, and tachypnea. This is the most important test to guide further treatment.

C. Arterial blood gases: While useful for assessing respiratory function, ABG testing is not the first priority here. The client's symptoms suggest a more likely hematologic issue that would be better assessed with a CBC.

D. Liver function tests: Liver function tests are important but not the most urgent in this case. The CBC provides a broader view of the client's condition and helps identify the underlying cause of the symptoms.

A. Chest tube insertion tray. B. Intubation tray. C. Ventilator. D. Crash cart.

Correct Answer is A

Explanation

A. Chest tube insertion tray: Thoracentesis may lead to complications like pneumothorax, especially in clients with lung disease such as emphysema. If air or fluid reaccumulates or lung collapse occurs, a chest tube may be urgently required to re-expand the lung and drain air or fluid buildup.

B. Intubation tray: While intubation may be needed in cases of severe respiratory failure, it is not the first-line equipment after an ineffective thoracentesis. It would only be used if the patient is unable to breathe adequately despite other interventions.

C. Ventilator: Mechanical ventilation is not immediately needed for a failed thoracentesis unless the client develops respiratory failure. It is a secondary measure if oxygenation cannot be maintained with basic support.

D. Crash cart: A crash cart is essential during cardiac arrest or life-threatening emergencies. It is not the most appropriate equipment to have specifically for an ineffective thoracentesis unless severe complications arise suddenly.

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When should intimate partner violence (IPV) screening occur?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse is assisting the healthcare provider with a thoracentesis for a client who has emphysema. Which equipment should the nurse have at the bedside in the event the procedure is ineffective?

Correct Answer is A

Explanation

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