A 42-year-old woman presents to the emergency department after being raped.

A 42-year-old woman presents to the emergency department after being raped. The AGACNP examines her and realizes

that the patient’s husband is the rapist. The patient does not want to press charges and wants to return home with her husband. The AGACNP’s initial action should be to:

A. Report the physical assault to law enforcement

B. Have the patient sign a release to go home with her husband

C. Consult psychiatry for a psych hold

D. Provide counseling to the patient regarding her options

 
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M. R. is a 52-year-old female who presents complaining of significant abdominal pain

M. R. is a 52-year-old female who presents complaining of significant abdominal pain, which she rates as 8 to 9 on

a 1 to 10 scale. The pain has been going on for a matter of hours, and she is afraid it won’t go away on its own. She denies any nausea or vomiting, and she cannot remember precisely when her last bowel movement occurred; probably it was a few days ago. She reports that she is ―always‖ constipated. On physical examination, she is tachycardic but otherwise has normal vital signs; her abdomen is tensely rigid, but no point tenderness to palpation is appreciated. The entire abdomen percusses as tympanic—there is no distinct dullness over the upper quadrants. Bowel sounds are present but hypoactive and intermittent. There is rebound tenderness to palpation. The AGACNP suspects:

A. Perforated bowel

B. Peritonitis

C. Ischemic bowel

D. Intestinal abscess

 
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The AGACNP knows that when evaluating a patient with suspected acute pyelonephritis

The AGACNP knows that when evaluating a patient with suspected acute pyelonephritis, which of the following is not

a common feature?

A. Pyuria

B.Fever

C. CVA tenderness

D. Gross hematuria

 
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B. T. is a 49-year-old male who has been admitted for the management of an episode of diverticulitis.

B. T. is a 49-year-old male who has been admitted for the management of an episode of diverticulitis. This is his

fifth hospitalization this year, and in previous hospitalizations he has had both abscess and stricture as a consequence of his disease. His treatment this hospitalization should include:

A. Extended-spectrum antibiotics

B. Surgical consultation for colectomy

C. Expectant treatment with nonabsorbable antibiotics

D. Colonoscopy

 
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