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Daily #79 · Emergency & Disaster Nursing · Archive

NCLEX-RN® question of the day

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The question

A 34-year-old woman is brought to the emergency department by her partner after sustaining a spiral fracture of the humerus. She states she "fell down the stairs," but the nurse notices she avoids eye contact, has multiple bruises in various stages of healing on her arms and torso, and becomes visibly tense when her partner attempts to enter the examination room. Which action by the nurse is most appropriate at this time?

  1. Reassure the client that the information she shares will be kept completely confidential from all parties.
  2. Inform the client that the nurse suspects abuse and will be contacting law enforcement immediately.
  3. Document the client's reported mechanism of injury and proceed with fracture care as the priority.
  4. Ask the partner to wait outside, then privately screen the client using a validated intimate partner violence tool.

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