A nurse in an emergency department (ED) is assessing a preschooler who has a fractured arm. For which of the following should the nurse further investigate as a warning sign of child maltreatment?
The guardian wants to accompany the child from the ED to the radiology department.
The guardian states the child fell off the swing in the backyard.
The child was brought to the ED 2 days after the injury occurred.
The child cries loudly when their arm is moved or manipulated.
The Correct Answer is C
A. The guardian wants to accompany the child from the ED to the radiology department. This is a typical parental response and does not indicate maltreatment. Parents often want to stay with their child for reassurance.
B. The guardian states the child fell off the swing in the backyard. This is a plausible explanation for an injury in a preschooler, though the consistency of the story with the injury should still be assessed.
C. The child was brought to the ED 2 days after the injury occurred. A delay in seeking medical care for a significant injury is a potential warning sign of child maltreatment and warrants further investigation.
D. The child cries loudly when their arm is moved or manipulated. Pain with movement is expected with a fracture and does not indicate maltreatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Decreased impulsiveness. Methylphenidate is a CNS stimulant used to treat ADHD. It helps improve attention, focus, and impulse control, which indicates the medication's effectiveness.
B. Decreased abdominal pain. Abdominal pain is a possible side effect of methylphenidate, but its resolution does not indicate the medication’s effectiveness in treating ADHD.
C. Increased appetite. Methylphenidate commonly suppresses appetite rather than increasing it. Increased appetite would not indicate effectiveness.
D. Increased urine output. Methylphenidate does not significantly affect urine output, so this is not a sign of its effectiveness.
Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E"}
Explanation
The nurse should prepare to administer naloxone and oxygen by face mask 10 L/min.
Rationale:
- Naloxone is used to reverse opioid-induced respiratory depression, which is a potential risk during moderate sedation.
- Oxygen by face mask 10 L/min is necessary to maintain adequate oxygenation during and after sedation, as respiratory depression can occur.
- Acetaminophen is not used for immediate management of sedation-related complications.
- An additional dose of fentanyl or propofol would deepen sedation, not manage its complications.
- Propranolol is a beta-blocker that is not indicated in this situation.
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