Author Question: The emergency department nurse is admitting a patient who has been sexually assaulted. The nurse is ... (Read 64 times)

clippers! · **on:** Jun 27, 2018

The emergency department nurse is admitting a patient who has been sexually assaulted. The nurse is explaining how the physical evidence will be collected. Which statement made by the patient indicates that teaching has been effective?

1. All the evidence will be kept in a locked cupboard until the police arrive.
2. You have to collect evidence to prove I wasn't sexually active.
3. The evidence you collect might be able to identify the rapist.
4. I will find out whether the rapist has HIV from the evidence.

Question 2

Appropriate nursing interventions for the application of erythromycin ophthalmic ointment (Ilotycin) include which of the following?

1. Massaging eyelids gently following application
2. Irrigating eyes after instillation
3. Using a syringe to apply ointment
4. Instillation is in the upper conjunctival surface of each eye

alexanderhamilton · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Rationale 1: The evidence must remain in the hands of the nurse until handed directly to the police.
Rationale 2: Evidence is not collected to determine whether the patient was sexually active previous to the rape. One function of collecting evidence is to corroborate that sexual activity has taken place.
Rationale 3: DNA can be obtained from collected evidence to identify the rapist.
Rationale 4: Diagnosis of infection cannot be made from evidence. Consequently, rape victims are given preventative therapy against sexually transmitted infections (including gonorrhea, syphilis, and HIV) as soon as possible after the assault.

Answer to Question 2

1
Explanation: 1. After administration, the nurse massages the eyelid gently to distribute the ointment.