Author Question: The nurse is caring for a female victim of rape. To perform the proper evaluation, the nurse should ... (Read 119 times)

dollx · **on:** Jul 23, 2018

The nurse is caring for a female victim of rape. To perform the proper evaluation, the nurse should place the patient in which of the following positions?

a. Sitting
b. Dorsal recumbent
c. Lithotomy
d. Knee-chest

Question 2

The nurse is urgently called to the gymnasium regarding an injured student. The student is crying in severe pain with a malformed fractured lower leg. The proper sequence for the nurse's initial assessment is

a. Deep palpation, light palpation, inspection.
b. Light palpation, deep palpation, inspection.
c. Inspection, light palpation.
d. Auscultation, deep palpation, light palpation.

kbennett34 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
Lithotomy is the position for examination of female genitalia. The lithotomy position provides for the maximum exposure of genitalia and allows the insertion of a vaginal speculum. Sitting does not allow adequate access for speculum insertion and is better used to visualize upper body parts. Dorsal recumbent is used to examine the head and neck, anterior thorax and lungs, breasts, axillae, heart, and abdomen. Knee-chest provides maximal exposure of the rectal area but is embarrassing and uncomfortable.

Answer to Question 2

ANS: C
Inspection is the use of vision and hearing to distinguish normal from abnormal findings. Light palpation determines areas of tenderness and skin temperature, moisture, and texture. Deep palpation is used to examine the condition of organs, such as those in the abdomen. Caution is the rule with deep palpation. Deep palpation is done after light palpation. Auscultation is used to evaluate sound.