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

[karen]

The nurse is conducting a rape exam on a client 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

A woman has a hydatidiform mole (molar pregnancy) evacuated, and is prepared for discharge. The nurse should make certain that the patient understands that it is essential that she:
 
  1. Not become pregnant until after the follow-up program is completed.
  2. Receive RhoGAM with her next pregnancy and birth.
  3. Have her blood pressure checked weekly for the next 30 days.
  4. Seek genetic counseling with her partner before the next pregnancy.

[smrerig]

Answer to Question 1

1, 2, 4
Explanation: 1. The nurse will take swabs of body stains and secretions to analyze for semen or sperm.
2. The nurse will take pubic hair samples to analyze root structure and identify foreign hairs that might have been transferred from the rapist.
4. The nurse will take head hair samples to analyze root structure and identify foreign hairs that might have been transferred from the rapist.

Answer to Question 2

1
Rationale 1: Follow-up care consists of monitoring hCG levels weekly until they are negative three consecutive times, then monthly for 6 months. Patients are advised not to get pregnant due to potential confusion between tumor growth and pregnancy.
Rationale 2: There is no indication for the administration of RhoGAM.
Rationale 3: There is no indication of blood pressure problems or preeclampsia.
Rationale 4: This is not a genetic defect that genetic counseling could/would resolve.

[karen]

TYSM

[Joy Chen]

Excellent