A 4-year-old girl is brought to the emergency room with a fractured arm. Which information should be a basis for the practical nurse (PN) to suspect child abuse?
The family is poorly dressed, has poor eye contact, and seems overwhelmed by the hospital.
The child has had 4 previous visits to 3 different emergency departments.
The child clings to her mother and does not want the PN to examine her.
The child's step-father is extremely concerned and refuses to leave the child alone.
The Correct Answer is B
Repeated visits to multiple emergency departments for various injuries or complaints can be a red flag for possible child abuse. The other options may indicate other issues or concerns, but they do not provide as much reason to suspect child abuse as the history of repeated visits to different emergency departments. It is important for healthcare providers to remain vigilant for signs of child abuse and to report any suspicions to the appropriate authorities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Guided imagery is a technique that can help the client to relax and reduce anxiety by imagining a peaceful and calming scene. This technique can be helpful for clients waiting for surgery to reduce stress and promote relaxation.
Option A (mindfulness) may also be helpful, but it may require more practice and preparation than guided imagery.
Option C (biofeedback) may not be feasible in the preoperative holding area, and
Option D (cognitive reframing) may not be helpful in the immediate preoperative period.
Therefore, options A, C, and D are not answers because they may not be the most effective technique to help the client in the preoperative holding area.
Correct Answer is D
Explanation
Fetal heart rate (FHR) is one of the essential indicators of fetal well-being during labor. A fall in FHR following each contraction is known as recurrent deceleration and can be an indication of fetal distress. In this case, the PN should first reposition the client laterally, as this may help to alleviate compression of the umbilical cord and improve fetal oxygenation.
A. Administering oxygen at 10 L/face mask may be necessary, but it is not the first intervention to be implemented in this scenario.
B. Discontinuing oxytocin infusion may be necessary, but it is not the first intervention to be implemented in this scenario.
C. Observing perineum for cord prolapse is not necessary in this scenario.
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