An emergency room nurse is assessing a toddler with multiple bruises and burns in various stages of healing. The nurse suspects that the toddler has been abused, however the physician disagrees. What is the nurse's priority at this time?

Nothing, as toddler's frequently fall and have multiple injuries in the home

Report the suspicions about abuse to the proper authorities (Child Protective Services)

Discuss the findings with the physician to collaborate and initiate a plan of care

Immediately verbally confront the caregivers about the suspicious injuries

Answer and Explanation

The Correct Answer is B

A. It is inappropriate to dismiss suspicions of abuse based on the assumption that toddlers frequently fall and have multiple injuries.
B. The nurse has a legal and ethical obligation to report suspicions of child abuse to the proper authorities, regardless of the physician's opinion. Reporting ensures that the child’s safety is prioritized and that an investigation can be conducted.
C. While discussing findings with the physician can be part of the process, it does not take precedence over the mandatory reporting of suspected abuse.
D. Confronting the caregivers directly is not appropriate and may put the child at further risk.

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Correct Answer is C

Explanation

A. While lidocaine cream can provide some pain relief, it is not the most effective method for relieving pain during a bone marrow aspiration and biopsy.
B. Relaxation techniques can help with anxiety but are not sufficient alone to relieve pain during this procedure.
C. Conscious or unconscious sedation is the most effective intervention to relieve pain and discomfort during a bone marrow aspiration and biopsy. This method ensures that the child is adequately sedated and comfortable throughout the procedure.
D. Acetaminophen can help with minor pain but is not effective enough for the pain associated with a bone marrow aspiration and biopsy.

A. Elevated BUN and Creatinine, decreased H & H decreased platelet count B. Hematuria, decreased BUN and elevated Creatinine, negative ASO titer C. Gross hematuria, proteinuria, increased BUN and Creatinine, decreased Sed Rate D. Elevated BUN and Creatinine, Urine specific gravity of 1.030, positive ASO titer

Correct Answer is D

Explanation

A. Decreased H & H and platelet count are not typical findings in glomerulonephritis.
B. Decreased BUN is not expected; BUN typically increases due to impaired kidney function.
C. Decreased Sed Rate is not expected; Sed Rate may increase due to inflammation.
D. Elevated BUN and Creatinine indicate impaired kidney function. Urine specific gravity of 1.030 indicates concentrated urine, and a positive ASO titer suggests a recent streptococcal infection, which is associated with glomerulonephritis.

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An emergency room nurse is assessing a toddler with multiple bruises and burns in various stages of healing. The nurse suspects that the toddler has been abused, however the physician disagrees. What is the nurse's priority at this time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse understands that which of the following interventions is the MOST effective at relieving pain and discomfort during a bone marrow aspiration and biopsy for a school-aged child?

Correct Answer is C

Explanation

A six-year old with Glomerulonephritis has had blood and urine samples sent to the laboratory. Which of the following results are expected findings?

Correct Answer is D

Explanation

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