A nurse's sibling had a diagnostic test at the nurse's facility. The sibling asks the nurse to look up the result in the computer. The nurse should identify which of the following as the reason for her decision about her sibling's request?

Explanation:

A. A 6-year-old child with a spiral fracture of the tibia and fibula, reportedly occurring while riding a bicycle:

While a spiral fracture can be concerning, it is also a common injury seen in children due to falls or accidents during physical activities such as riding a bicycle. Without further evidence or suspicion, this may not immediately indicate physical abuse.

B. A 14-month-old toddler reportedly learning to walk and has several bruises on bony prominences of the lower legs and elbows:

Bruises on bony prominences can be common in toddlers who are learning to walk and explore their environment. These bruises are often seen on areas such as the lower legs and elbows. Without additional concerning signs or patterns, this may not indicate physical abuse.

C. A 9-month-old infant who sustained near drowning when he reportedly climbed into the tub and turned on the water:

Near drowning incidents can occur accidentally, especially in curious and mobile infants who may explore their surroundings. While this is a serious event, it does not necessarily suggest physical abuse unless there are other suspicious findings or a history of non-accidental injuries.

D. A 3-year-old toddler with scalding burns over the face and chest reportedly sustained when the child pulled on a tablecloth, spilling a cup of tea on himself:

Scalding burns, especially over sensitive areas like the face and chest, can raise concerns about physical abuse, especially when the reported mechanism of injury (spilling a cup of tea) seems inconsistent or disproportionate to the severity of the burns. The pattern and location of burns may not align with accidental spillage, leading to suspicion of abuse.

Explanation:

A. Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) website:

This is a credible source for information related to women's health, obstetrics, and neonatal care. AWHONN is a reputable organization in the healthcare field, and their website likely provides evidence-based information and resources.

B. A pamphlet about hypoglycemia from the American Diabetes Association Cumulative Index of Nursing and Allied Health Literature (CINAHL) website:

CINAHL is a reputable database for nursing and allied health literature. Pamphlets or articles from organizations like the American Diabetes Association are generally considered credible sources of information, especially when they are based on scientific evidence and research.

C. A magazine article about healthcare trends authored by a journalist:

While magazine articles can sometimes provide valuable insights, they are generally not considered as credible as information from professional organizations, peer-reviewed journals, or government agencies. Journalists may not always have the same level of expertise or access to scientific research as healthcare professionals.

D. American Association of Critical Care Nurses (AACN) website:

The AACN is a respected organization in critical care nursing, and their website is likely a credible source for information related to critical care nursing practices, guidelines, and research.

E. Agency for Healthcare Research and Quality (AHRQ) website:

The AHRQ is a federal agency that conducts research and provides evidence-based information and guidelines related to healthcare quality, safety, and effectiveness. Their website is considered a highly credible source for healthcare information.