A child is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. Which statement by the parent would arouse suspicion of abuse?
"The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor."
"I placed the baby in the infant swing. His 6-year-old brother was running through the house and tripped over the swing, causing it to fall."
"I was walking up the steps and slipped on the ice, falling while carrying my baby."
"I did not realize that my baby was able to roll over yet, and I was just gone a minute to check on dinner when the baby rolled off of the couch and onto our tile floor."
The Correct Answer is D
Choice A reason: This choice might not arouse suspicion as it could be a plausible accident involving siblings.
Choice B reason: This choice also might not arouse suspicion as accidents can happen when children are playing and not being watched closely.
Choice C reason: This choice is less likely to arouse suspicion as slipping on ice is a common accident.
Choice D reason: This is the correct choice. The statement may arouse suspicion because it suggests negligence, as the caregiver left the baby unattended in a potentially dangerous situation.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: This statement is incorrect; children's bones actually heal faster than those of adults due to a more robust blood supply and the presence of growth factors.
Choice B reason: Growth in children does not occur due to an increase in the number of muscle fibers; rather, it happens through the lengthening of existing fibers.
Choice C reason: Children's bones do have decreased density compared to adults, which is why they are more flexible and less likely to break.
Choice D reason: The statement about decreased blood flow in children's bones is incorrect; children typically have a higher blood flow in their bones, which contributes to their faster healing process.
Correct Answer is D
Explanation
Choice A reason: Asking the client to choose the medication is not appropriate as the nurse should use clinical judgment to select the medication based on effectiveness and onset of action.
Choice B reason: Documentation is important but should not precede the administration of pain relief.
Choice C reason: Comparing the pain scale rating with prescribed dosing is part of pain management, but the immediate concern is to relieve the pain as quickly as possible.
Choice D reason: This is the correct choice. The nurse should determine which medication will provide the quickest relief from pain, which is the client's immediate need.
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