Which of the following questions is most important to ask a client who might have been exposed to HIV after being sexually assaulted?

Who was the individual who assaulted you?

What day and time did the assault take place?

Where did the assault occur?

Do you give us permission to call the police?

Answer and Explanation

The Correct Answer is B

Choice A reason:
Asking about the identity of the assailant, while important for legal purposes, does not contribute to the immediate medical care of the client. The priority is to address potential health issues, such as exposure to HIV.

Choice B reason:
The timing of the assault is critical because it determines the eligibility for PEP. PEP should be initiated as soon as possible, ideally within 2 hours, but it can be effective up to 72 hours after exposure. Knowing the exact time of the assault helps healthcare providers act swiftly to mitigate the risk of HIV transmission.

Choice C reason:
While knowing where the assault occurred can provide context and may be relevant for legal proceedings, it does not influence the immediate medical treatment plan for potential HIV exposure.

Choice D reason:
Consent to involve law enforcement is a separate issue from medical treatment. While it's important to respect the client's wishes regarding reporting, it does not impact the decision-making process regarding HIV prophylaxis.

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Correct Answer is A

Explanation

Choice A reason:
Hysterosalpingography (HSG) is typically scheduled after menstruation but before ovulation to ensure that the client is not pregnant during the procedure. Scheduling the procedure 5 days prior to menstruation would not be appropriate as it could interfere with the menstrual cycle and the potential early stages of pregnancy.

Choice B reason:
Diarrhea is not a common side effect of HSG. The procedure involves the insertion of a dye into the uterine cavity to visualize the fallopian tubes and uterus via X-ray. While some discomfort, cramping, or spotting may occur, diarrhea is not typically expected.

Choice C reason:
There is no requirement for a client to be on a liquid diet following an HSG procedure. The client can usually resume normal activities and diet immediately after the procedure unless otherwise instructed by their healthcare provider.

Choice D reason:
Shoulder pain is not a typical symptom following HSG. While referred pain to the shoulder can occur with procedures that involve the diaphragm or abdominal cavity, HSG is focused on the reproductive organs and should not cause shoulder pain.

A. Polyuria B. Weakened gag reflex C. Hypotension D. Hyperthermia E. Absence of bowel sounds

Correct Answer is ["B","C","E"]

Explanation

Choice A reason:
Polyuria, or excessive urination, is not typically a direct complication of a cervical spinal cord injury. Polyuria can be related to other conditions such as diabetes or the use of diuretics.

Choice B reason:
A weakened gag reflex can be a complication of a cervical spinal cord injury, especially if the injury affects the nerves that supply the muscles involved in swallowing. This can increase the risk of aspiration and requires careful monitoring.

Choice C reason:
Hypotension, or low blood pressure, is a common complication following a spinal cord injury due to the disruption of the autonomic pathways that control blood pressure. This condition, known as neurogenic shock, can occur in the acute phase following the injury.

Choice D reason:
Hyperthermia, or elevated body temperature, is not a common direct complication of a cervical spinal cord injury. However, the injury can disrupt temperature regulation, leading to difficulty in either staying warm or cooling down, depending on the environment and level of injury.

Choice E reason:
An absence of bowel sounds can indicate a complication of a cervical spinal cord injury, as the injury may disrupt the normal functioning of the bowel. This can lead to ileus or bowel obstruction, which requires prompt medical attention.

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Which of the following questions is most important to ask a client who might have been exposed to HIV after being sexually assaulted?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning a teaching session about hysterosalpingography for a client who has a diagnosis of infertility. The nurse should include which of the following information in the teaching plan?

Correct Answer is A

Explanation

A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

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