A nurse in an urgent care clinic is caring for a school-age child who has injuries resulting from physical maltreatment. Which of the following actions should the nurse take first?
Ensure the child's safety.
Tell the child they are not at fault.
Document the location of the child’s injuries
Notify local law enforcement.
The Correct Answer is A
Choice A reason:
Ensuring the child's safety is the top priority. If the child is in immediate danger, steps must be taken to protect them.
Choice B reason:
While providing emotional support to the child is important, ensuring their physical safety takes precedence.
Choice C reason:
Documenting injuries is important for a comprehensive assessment and for legal purposes, but it should follow ensuring the child's immediate safety.
Choice D reason:
Notifying law enforcement may be necessary, but ensuring the child's immediate safety comes first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
While an oatmeal bath can provide relief from itching, it is not the first step in treating poison ivy exposure. The immediate priority is to remove the plant oils from the skin.
Choice B reason:
Administering an oral corticosteroid may be indicated for severe cases of poison ivy, but it is not the initial step. Removing the plant oils from the skin is the first priority.
Choice C reason:
Applying calamine lotion can help soothe itching, but it is not the first action to take. The priority is to remove any remaining plant oils from the skin.
Choice D reason:
The first action the nurse should take is to remove any remaining plant oils from the skin by flushing the affected area with cold, running water. This helps to prevent further absorption of the irritant.
Correct Answer is D
Explanation
Choice A reason:
A diet soft drink does not contain enough sugar to raise the child's blood glucose level quickly. It is not the appropriate choice in this situation.
Choice B reason:
Metformin is a medication used to manage type 2 diabetes, not type 1 diabetes. It would not be effective in treating the low blood sugar (hypoglycemia) in this scenario.
Choice C reason:
Administering insulin would further lower the child's blood glucose level and is contraindicated in cases of hypoglycemia.
Choice D reason:
This statement is correct. A regular soft drink contains sugar and can rapidly increase the child's blood glucose level, effectively treating the hypoglycemia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.