An unconscious teenager is treated in the emergency department. ...

[Starlight]

An unconscious teenager is treated in the emergency department. The teenager's friends suspect a rape occurred at a party. Priority action by the nurse should focus on:
 
  a. preserving rape evidence.
  b. maintaining physiologic stability.
  c. determining what drugs were ingested.
  d. obtaining a description of the rape from a friend.

Question 2

When an emergency department nurse teaches a victim of rape-trauma syndrome about reactions that may occur during the long-term phase of reorganization, which symptoms should be included? Select all that apply.
 
  a. Development of fears and phobias
  b. Decreased motor activity
  c. Feelings of numbness
  d. Flashbacks, dreams
  e. Syncopal episodes

[Ksanderson1296]

Answer to Question 1

ANS: B
Because the patient is unconscious, the risk for airway obstruction is present. The nurse's priority will focus on maintaining physiologic stability. The distracters are of lower priority than preserving physiological functioning.

Answer to Question 2

ANS: A, C, D
These reactions are common to the long-term phase. Victims of rape frequently have a period of increased motor activity rather than decreased motor activity during the long-term reorganization phase. Syncopal episodes would not be expected.

[Starlight]

TYSM

[amandalm]

Excellent