A child has been diagnosed with medical abuse by his mother who is suspected of Munchausen syndrome by proxy. When setting goals, which is of the highest priority?
Psychotherapy for the unaffected children in the family
Therapy for the child
Establishing safety of the child
Obtaining treatment for the mother
The Correct Answer is C
A. Psychotherapy for other family members is essential but not the immediate priority.
B. Therapy for the child is beneficial but secondary to ensuring immediate safety.
C. Ensuring the child's safety is the top priority in suspected abuse cases to prevent further harm.
D. Treatment for the mother (e.g., psychiatric care) is necessary but secondary to child protection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A low-protein diet would not cause elevated sodium levels.
B. SIADH typically leads to low sodium levels (hyponatremia), not hypernatremia.
C. Renal failure often involves abnormal potassium or creatinine levels, which are normal here.
D. Elevated sodium and dehydration are consistent with excessive fluid loss from heat exposure.
Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"D"}
Explanation
Pulmonary embolism: The child shows a slight decline in oxygen saturation (from 95% to 93%) and labored breathing, both of which can indicate early signs of respiratory complications.
Oxygen saturation levels: Decreased oxygen saturation is a concerning sign that points toward respiratory issues, which can include pulmonary embolism, especially in a post-trauma patient with limited mobility.
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