A nurse in the emergency department is assessing a preschool-age child who has bruises on both arms and a spiral fracture of the left ulna. The child's parent tells the nurse that the child tripped over some toys and fell down. Which of the following actions should the nurse take?
Take pictures of the child's injuries once the parent leaves the room.
Have a facility security officer interview the parent.
Complete an incident report concerning the child's injuries.
Report the child's injuries to Child Protective Services.
The Correct Answer is D
Choice A reason: Taking pictures of the child's injuries once the parent leaves the room is not a correct action, as it violates the child's privacy and dignity. The nurse should not take pictures of the child without the parent's consent and only if it is required by the facility's policy or the law.
Choice B reason: Having a facility security officer interview the parent is not a correct action, as it is not within the scope of the security officer's role and may escalate the situation. The nurse should not involve the security officer unless there is a threat of violence or harm to the child, the parent, or the staff.
Choice C reason: Completing an incident report concerning the child's injuries is not a correct action, as it is not relevant to the child's situation. The nurse should complete an incident report only if there is an adverse event or error that occurred within the facility that affected the child's care or safety.
Choice D reason: Reporting the child's injuries to Child Protective Services is the correct action, as it is the nurse's legal and ethical duty to protect the child from potential abuse or neglect. The nurse should suspect child abuse based on the child's injuries, which are inconsistent with the parent's explanation and indicative of non-accidental trauma. The nurse should follow the facility's protocol and the state's law for reporting suspected child abuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct choice because a social worker can help the parent with financial assistance, insurance coverage, or other resources to obtain the nebulizer and the medication for the child. A social worker can also provide emotional support and education to the parent and the child about asthma management.
Choice B reason: This is not the correct choice because a pharmacist can only provide information about the medication, such as the dosage, side effects, and interactions. A pharmacist cannot help the parent with the cost of the nebulizer or the medication.
Choice C reason: This is not the correct choice because child protective services is not a referral that the nurse should recommend in this situation. The parent is not neglecting or abusing the child, but rather expressing a concern about the affordability of the nebulizer. Reporting the parent to child protective services could cause more harm than good to the parent-child relationship and the child's well-being.
Choice D reason: This is not the correct choice because a respiratory therapist can only provide technical assistance and education on how to use the nebulizer and the medication. A respiratory therapist cannot help the parent with the cost of the nebulizer or the medication.
Correct Answer is A
Explanation
Choice A reason: A client who has a red tag is the first priority for the nurse, as it indicates that the client has life-threatening injuries that require immediate attention and treatment. The nurse should assess and stabilize the client as soon as possible.
Choice B reason: A client who has a green tag is the last priority for the nurse, as it indicates that the client has minor injuries that do not require urgent care. The nurse should assess and treat the client after all other clients have been attended to.
Choice C reason: A client who has a yellow tag is the second priority for the nurse, as it indicates that the client has serious injuries that require timely care but can wait for a short period of time. The nurse should assess and treat the client after the red-tagged clients have been stabilized.
Choice D reason: A client who has a black tag is not a priority for the nurse, as it indicates that the client is deceased or has fatal injuries that are beyond the scope of care. The nurse should not attempt to resuscitate or treat the client, but rather focus on the clients who have a chance of survival.
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