A nurse is bathing a toddler and notices the child has several bruises. Which of the following actions should the nurse take first?
Notify social services.
Ask the parents what caused the bruises.
Ask the toddler what caused the bruises.
Notify the provider.
The Correct Answer is B
A. Notify social services – Not the first action; the nurse must assess the situation before reporting.
B. Ask the parents what caused the bruises – Correct; gathering information helps differentiate normal bruising from possible abuse.
C. Ask the toddler what caused the bruises – Not the best initial approach, as toddlers may not provide reliable explanations.
D. Notify the provider – Appropriate but should come after assessing the situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. G2 T1 P1 A1 L0 – Incorrect; does not include the current pregnancy.
B. G2 T0 P1 A1 L1 – Incorrect; does not include current pregnancy and incorrectly counts a living child.
C. G3 T0 P1 A1 L1 – Incorrect; incorrectly counts a living child.
D. G3 T0 P1 A1 L0 – Correct; accurately represents her pregnancy history.
Correct Answer is C
Explanation
A. "Epidurals are best because they provide complete pain relief." – Incorrect; while epidurals provide significant pain relief, they may not be the best option for every client.
B. "Most women need IV pain medications at some point during labor." – Incorrect; pain management is individualized, and not all women require IV pain medication.
C. "It is best to learn about the different types of pain relief available, as every woman experiences labor pain differently." – Correct; pain relief options should be tailored to the individual's preferences and medical condition.
D. "There is no one best way. However, natural childbirth is best for the baby." – Incorrect; while natural childbirth is an option, it is not necessarily the best choice for everyone.
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