A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?
Ask a psychiatrist to talk with the parents.
Separate the child from the parents.
Report the suspected abuse to the authorities.
Obtain a detailed history.
The Correct Answer is D
a. While involving mental health professionals can be part of a broader intervention plan, it is not the immediate priority in cases of suspected abuse. The nurse must first address the immediate safety concerns and follow the required reporting procedures.
b. Separating the child from the parents without proper authority or immediate threat can escalate the situation and may not be legally permissible. This action should be taken by authorities with the legal power to do so if deemed necessary.
c. Nurses are mandated reporters, which means they are legally required to report any suspected child abuse to the appropriate authorities immediately. This action ensures that the child’s safety is prioritized and that a proper investigation can be initiated however, obtaining a detailed history is the priority.
d. When a nurse observes several bruises on a child, the initial action should be to obtain a detailed history. This step allows the nurse to gather information about the circumstances surrounding the bruises, assess for any potential signs of abuse, and determine the most appropriate course of action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Semi-Fowler's. While this position can help with drainage, it is generally not the first choice immediately after VP shunt surgery.
B. Prone.This position is generally not recommended as it can cause discomfort and increase intracranial pressure.
C. Trendelenburg. This position is contraindicated as it can significantly increase intracranial pressure.
D. on the unoperated side. This position helps prevent pressure on the operative site and facilitates drainage of cerebrospinal fluid. It also reduces the risk of complications associated with increased intracranial pressure.
Correct Answer is D
Explanation
Treatment of eczema may start with regular moisturizing and other self-care habits.
If these don’t help, a healthcare provider might suggest medicated creams that control itching and help repair skin.
Choice A is not correct because woolen clothes can irritate the skin and worsen
eczema.
Choice B is not correct because fabric softeners can irritate the skin and worsen
eczema.
Choice C is not correct because bubble baths can dry out the skin and worsen eczema.

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