The nurse is conducting a rape exam on a patient in the emergency ...

[ss2343]

The nurse is conducting a rape exam on a patient in the emergency department after a sexual assault. What specimens will the nurse collect? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  Select all that apply. 1. Swabs of body stains and secretions
  2. Samples of pubic hair
  3. Toenail scrapings
  4. Samples of head hair
  5. Sputum, for disease analysis

Question 2

Which relief measure would be most appropriate for a postpartum patient with superficial thrombophlebitis?
 
  1. Urge ambulation.
  2. Apply ice to the leg.
  3. Elevate the affected limb.
  4. Massage her calf.

[ergserg]

Answer to Question 1

1,2,4
Rationale 1: The nurse will take swabs of body stains and secretions to analyze for semen or sperm.
Rationale 2: The nurse will take pubic hair samples to analyze root structure and identify foreign hairs that might have been transferred from the rapist.
Rationale 3: Toenail scrapings are not usually taken, but clippings or scrapings from the woman's fingernails often are examined for blood or tissue from the assailant.
Rationale 4: The nurse will take head hair samples to analyze root structure and identify foreign hairs that might have been transferred from the rapist.
Rationale 5: Sputum is not analyzed.

Answer to Question 2

3
Rationale 1: Ambulation would increase discomfort.
Rationale 2: Applying ice to the leg is contraindicated in thrombophlebitis treatment because it can cause vasoconstriction, increasing pain.
Rationale 3: Elevating the limb promotes venous blood return and helps decrease edema, and thus increases comfort in the affected leg.
Rationale 4: Massaging the calf is contraindicated because it can cause a breakup of a clot and put the patient at risk for a pulmonary embolus.

[ss2343]

Excellent

[fatboyy09]

TYSM