A nurse in an emergency department is caring for a child who reports being sexually abused by a family member. Which of the following actions should the nurse take?
Reassure the child that no one will be told about the abuse.
Use leading statements to obtain information from the child.
Explain to the child what will happen when the abuse is reported.
Ensure that multiple nurses are present for the physical examination.
The Correct Answer is C
A. The nurse must not promise confidentiality when abuse is suspected. Reporting is required by law, and the child should be informed of this.
B. Leading statements can influence the child’s response and should be avoided to ensure that information is accurately obtained.
C. Explaining the process to the child ensures that the child understands what will happen and can help alleviate anxiety about the situation.
D. While a supportive environment is important, the presence of multiple nurses during the physical examination could make the child feel uncomfortable. One nurse should be present to provide care and comfort.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hypertension is not a contraindication for acupuncture, and it can be used to help manage pain related to various conditions, including osteoarthritis.
B. Herpes zoster (shingles) is a contraindication for acupuncture, especially if the lesions are present, as needling over or near the affected area may worsen the condition.
C. Obesity is not a contraindication for acupuncture, though the client may need to discuss their treatment goals with the practitioner.
D. Hypothyroidism is not a contraindication for acupuncture, as acupuncture can be used to manage symptoms of hypothyroidism.
Correct Answer is A
Explanation
A. Dextrose 10% in water is commonly used to prevent hypoglycemia in patients receiving TPN if the TPN infusion is running low and a new bag isn't available immediately.
B. Discontinuing the infusion could lead to nutritional deficiencies or glucose instability.
C. Slowing the infusion rate does not solve the issue of a soon-to-be-depleted TPN bag and may cause fluid imbalance.
D. Lactated Ringer's solution is not a substitute for the nutritional requirements provided by TPN.
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