A nurse is assisting with teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?

Choice A reason: Obtaining a detailed history is the first action that the nurse should take. History can help the nurse determine the cause, frequency, and severity of the bruises, as well as the child's relationship with the abuser and the risk of further harm. History can also help the nurse assess the child's physical and emotional state, and provide evidence for reporting the abuse later.
Choice B reason: Reporting the suspected abuse to the authorities is not the first action that the nurse should take. The nurse should report the abuse only after obtaining a history and confirming the suspicion. Reporting the abuse prematurely can jeopardize the child's safety and the nurse's credibility. The nurse should also follow the legal and ethical guidelines for reporting abuse in their jurisdiction.
Choice C reason: Requesting a social services referral is not the first action that the nurse should take. The nurse should request a social services referral only after reporting the abuse and ensuring the child's protection. A social services referral can help the child access resources and support, such as counseling, legal aid, foster care, etc. The nurse should also collaborate with the social worker and other members of the interdisciplinary team to provide holistic care for the child.
Choice D reason: Telling the child what will happen to her when the abuse is reported is not the first action that the nurse should take. The nurse should tell the child what will happen to her only after obtaining a history and reporting the abuse. The nurse should also use age-appropriate language and reassure the child that the abuse is not her fault and that she is not alone. The nurse should avoid making promises that they cannot keep, such as saying that the abuser will never hurt her again.

Choice A reason: This statement is incorrect because a rigid abdomen is not a common finding for a client who has had diarrhea for several days. A rigid abdomen may indicate peritonitis, which is an inflammation of the abdominal lining, usually caused by an infection or a perforation of an organ. A client with peritonitis may also have severe abdominal pain, fever, nausea, and vomiting.
Choice B reason: This statement is correct because dehydration is a common finding for a client who has had diarrhea for several days. Dehydration occurs when the body loses more fluid than it takes in, which can happen with frequent and watery stools. A client with dehydration may also have dry mouth, thirst, decreased urine output, dark urine, low blood pressure, increased heart rate, and confusion.
Choice C reason: This statement is incorrect because hypothermia is not a common finding for a client who has had diarrhea for several days. Hypothermia occurs when the body temperature drops below 35°C (95°F), usually due to exposure to cold environments or inadequate clothing. A client with hypothermia may also have shivering, slow breathing, slow pulse, drowsiness, and loss of consciousness.
Choice D reason: This statement is incorrect because decreased bowel sounds are not a common finding for a client who has had diarrhea for several days. Decreased bowel sounds may indicate ileus, which is a temporary paralysis of the intestinal movement, usually caused by surgery, medication, or inflammation. A client with ileus may also have abdominal distension, constipation, nausea, and vomiting.