The emergency department nurse is admitting a client who has been sexually assaulted. The nurse is explaining how the physical evidence will be collected. Which statement by the client indicates that teaching has been effective?
1. All the evidence will be kept in a locked cupboard until the police arrive.
2. You collect urine samples to make sure the rapist did not get me pregnant.
3. The evidence you collect might be able to identify the rapist.
4. Blood samples are taken to help identify whether the rapist had HIV.
Question 2
The patient presents to the clinic for an initial prenatal examination.
She asks the nurse whether there might be a problem for her baby because she has type B Rh-positive blood and her husband has type O Rh-negative blood, or because her sister's baby had ABO incompatibility. What is the nurse's best answer? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Your baby would be at risk for Rh problems if your husband were Rh-negative.
2. Rh problems only occur when the mother is Rh-negative and the father is not.
3. ABO incompatibility occurs only after the baby is born.
4. We don't know for sure, but we can test for ABO incompatibility.
5. Your husband's being type B puts you at risk for ABO incompatibility.
Client on IV patient-controlled analgesia (PCA).
Weber test: Place the base of the tuning fork on top of the client’s head.
Responsibilities of the nurse manager
To check pupillary reflexes the nurse first holds the penlight
Testing client’s ability to identify sharp sensations
Testing the client’s ability to feel vibrations, the knee