A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child?

"Your family is bad for doing this to you.".

"Let's discuss what happened with your family.".

"It is not your fault that this happened.".

"I promise I won't tell anyone about this.".

Answer and Explanation

The Correct Answer is C

This statement helps the child understand that they are not to blame for the abuse and can help reduce feelings of guilt or shame.
Choice A is not an answer because it can create more confusion and fear in the child.
Choice B is not an answer because discussing the abuse with the family may not be safe or appropriate.
Choice D is not an answer because it is important for the nurse to report the abuse to the appropriate authorities to ensure the child’s safety.

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Correct Answer is C

Explanation

The correct answer is C. 2 mL/kg/hr.

Choice A rationale: An output of 0.5 mL/kg/hr is insufficient and indicative of ongoing dehydration or inadequate fluid intake.

Choice B rationale: An output of 15 mL/kg/hr is excessive and could suggest overhydration or a different pathology.

Choice C rationale: A urinary output of 2 mL/kg/hr is an ideal measure for indicating that fluid balance has been restored in infants.

Choice D rationale: An output of 7.5 mL/kg/hr is unusually high and not typical for a corrected fluid balance in infants.

A. Semi-Fowler's. B. Prone C. Trendelenburg. D. on the unoperated side

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.

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A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is D

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