A nurse is bathing a toddler and notices that she has several bruises.

Which of the following actions should the nurse take first?

Ask the parents what caused the bruises.

Ask the toddler what caused the bruises.

Notify social services.

Notify the provider.

Answer and Explanation

The Correct Answer is D

The nurse should ﬁrst notify the provider about the bruises observed on the toddler.
Choice A is not correct because while it may be important to gather information from the parents, the nurse’s ﬁrst action should be to notify the provider.
Choice B is not correct because while it may be important to gather information from the toddler, the nurse’s ﬁrst action should be to notify the provider.
Choice C is not correct because while notifying social services may be necessary in some cases, the nurse’s ﬁrst action should be to notify the provider.

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Correct Answer is C

Explanation

Infants with spina biﬁda are at an increased risk of developing a latex allergy
due to repeated exposure to latex products during medical procedures.
Providing a latex-free environment can help prevent the development of an allergy.
Choice A is not correct because limiting visitors to immediate family members is not necessary for the care of an infant undergoing surgical closure of the myelomeningocele sac.
Choice B is not correct because maintaining the infant in the supine position is not necessary for this procedure.
Choice D is not correct because initiating contact precautions is not necessary for this procedure.

A. "The provider will be coming to explain the situation.". B. "As a nurse, I am required by law to report suspected child abuse.". C. "I am unable to discuss this, but I can contact my supervisor to speak with you.". D. "I reported the incident to my supervisor who decided to contact the authorities.".

Correct Answer is B

Explanation

This response is appropriate because it informs the parent that the nurse has a legal obligation to report any suspected child abuse.
Choice A is not an answer because it does not address the parent’s concern and instead defers responsibility to the provider.
Choice C is not an answer because it does not provide any information to the parent and instead suggests contacting a supervisor.
Choice D is not an answer because it implies that the decision to report the incident was made by the supervisor and not the nurse.

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A nurse is bathing a toddler and notices that she has several bruises. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

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A nurse is bathing a toddler and notices that she has several bruises.

Which of the following actions should the nurse take first?