Conclusion
Conclusion ( 8 Questions)
A nurse is caring for a 4-year-old child who has been admitted to the hospital with multiple bruises and fractures. The nurse suspects that the child is a victim of physical abuse. What is the nurse's priority action?
Reason: Notifying the child protection services is an important action that the nurse should take when caring for a child who has been physically abused, but it is not the priority action. The nurse should report any suspected or confirmed cases of child abuse and neglect to protect the child from further harm and to ensure appropriate intervention and support for the child and family. However, the nurse should first address the child's immediate needs, such as pain relief and comfort measures, before reporting.
Reason: Documenting the findings in the medical record is an essential action that the nurse should take when caring for a child who has been physically abused, but it is not the priority action. The nurse should document any signs and symptoms of maltreatment, such as bruises, fractures, burns, or wounds, in an objective, accurate, and detailed manner. The nurse should also use body maps or diagrams to illustrate the location, size, shape, color, and pattern of the injuries. The nurse should also document any statements made by the child or the parents that are relevant to the abuse. However, the nurse should first address the child's immediate needs, such as pain relief and comfort measures, before documenting.
The correct answer is C. Providing pain relief and comfort measures is the nurse's priority action when caring for a child who has been physically abused. The nurse should assess the child's pain level and administer analgesics as prescribed. The nurse should also provide emotional support and reassurance to the child and create a safe and trusting environment.
Reason: Interviewing the child and the parents separately is a necessary action that the nurse should take when caring for a child who has been physically abused, but it is not the priority action. The nurse should interview the child and the parents separately to obtain a history of the abuse and to assess their relationship and dynamics. The nurse should use open-ended questions, avoid leading or suggestive questions, and use developmentally appropriate language and techniques. The nurse should also observe their behaviors, expressions, and interactions for any clues or discrepancies. However, the nurse should first address the child's immediate needs, such as pain relief and comfort measures, before interviewing.
The correct answer is C. Providing pain relief and comfort measures is the nurse's priority action when caring for a child who has been physically abused. The nurse should assess the child's pain level and administer analgesics as prescribed. The nurse should also provide emotional support and reassurance to the child and create a safe and trusting environment.
Choice A Reason: Notifying the child protection services is an important action that the nurse should take when caring for a child who has been physically abused, but it is not the priority action. The nurse should report any suspected or confirmed cases of child abuse and neglect to protect the child from further harm and to ensure appropriate intervention and support for the child and family. However, the nurse should first address the child's immediate needs, such as pain relief and comfort measures, before reporting.
Choice B Reason: Documenting the findings in the medical record is an essential action that the nurse should take when caring for a child who has been physically abused, but it is not the priority action. The nurse should document any signs and symptoms of maltreatment, such as bruises, fractures, burns, or wounds, in an objective, accurate, and detailed manner. The nurse should also use body maps or diagrams to illustrate the location, size, shape, color, and pattern of the injuries. The nurse should also document any statements made by the child or the parents that are relevant to the abuse. However, the nurse should first address the child's immediate needs, such as pain relief and comfort measures, before documenting.
Choice D Reason: Interviewing the child and the parents separately is a necessary action that the nurse should take when caring for a child who has been physically abused, but it is not the priority action. The nurse should interview the child and the parents separately to obtain a history of the abuse and to assess their relationship and dynamics. The nurse should use open-ended questions, avoid leading or suggestive questions, and use developmentally appropriate language and techniques. The nurse should also observe their behaviors, expressions, and interactions for any clues or discrepancies. However, the nurse should first address the child's immediate needs, such as pain relief and comfort measures, before interviewing.