A nurse is assessing a 10-year-old child who presents with unexplained bruises and has difficulty sitting. What should the nurse's priority action be?
Reassure the child and schedule a follow-up appointment
Document the child's statement and discharge the child
Contact child protective services and conduct further assessments
Confront the child about the possibility of abuse
The Correct Answer is C
Choice A reason: Reassuring and scheduling follow-up delays action on potential abuse. Unexplained bruises suggest trauma, potentially elevating cortisol and stress responses. Scientifically, delaying intervention risks ongoing harm, as unaddressed abuse can lead to psychological disorders like PTSD, compromising the child’s safety and mental health.
Choice B reason: Documenting and discharging ignores immediate safety concerns. Bruises and discomfort may indicate abuse, triggering stress-related physiological changes. Scientifically, failing to investigate risks further trauma, as unaddressed abuse can exacerbate anxiety or depression, leaving the child vulnerable to ongoing harm without protective intervention.
Choice C reason: Contacting child protective services and further assessing ensures immediate safety. Bruises and discomfort suggest abuse, impacting stress hormones like cortisol. Scientifically, prompt reporting and evaluation protect the child from further trauma, addressing neurobiological stress responses and preventing long-term psychological harm, prioritizing child welfare.
Choice D reason: Confronting the child risks re-traumatization, as children may fear disclosure. Scientifically, direct confrontation can elevate stress responses, increasing cortisol and amygdala activity, potentially worsening trauma-related symptoms. A sensitive, professional assessment is needed to confirm abuse without causing psychological harm or deterring honest communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: One tablet (25 mg) underdoses the prescribed 50 mg per dose. Quetiapine, an antipsychotic, modulates dopamine and serotonin for conditions like schizophrenia or bipolar disorder. Scientifically, insufficient dosing fails to stabilize neural activity, risking persistent psychotic symptoms, as inadequate receptor blockade does not address neurotransmitter imbalances, compromising treatment efficacy.
Choice B reason: Four tablets (100 mg) per dose significantly exceed the prescribed 50 mg, risking toxicity. Quetiapine overdosing can cause sedation, hypotension, or cardiac arrhythmias due to excessive dopamine and serotonin receptor antagonism. Scientifically, precise dosing is critical to avoid adverse effects while ensuring therapeutic efficacy for mental health stabilization.
Choice C reason: Two tablets (50 mg) match the prescribed dose, ensuring therapeutic dopamine and serotonin modulation. Scientifically, accurate Quetiapine dosing stabilizes neural activity, effectively managing psychotic or mood symptoms. This prevents symptom exacerbation or toxicity, supporting mental health recovery by optimizing receptor antagonism without adverse effects.
Choice D reason: Three tablets (75 mg) per dose overdose the patient, increasing side effect risks. Quetiapine’s effects on dopamine and serotonin can lead to excessive sedation or cardiovascular issues if overdosed. Scientifically, maintaining therapeutic levels prevents neurological complications, ensuring safe and effective treatment for psychiatric conditions.
Correct Answer is ["2"]
Explanation
Step 1 is: 50 mg ÷ 25 mg
Step 2 is: (50 ÷ 25) = 2
Final answer = 2 tablets
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