A nurse is caring for a child and suspects the child has experienced physical maltreatment.Which of the following statements should the nurse make?

"It is not your fault that this happened."

"You should have told someone about this sooner."

"This should not have happened to you."

"I promise I won't tell anyone about this."

Answer and Explanation

The Correct Answer is C

Choice A reason:

While it's important to reassure the child, stating that it's not their fault is correct, the statement in choice C is a stronger affirmation of the inappropriateness of the situation.

Choice B reason:

This statement may inadvertently place blame on the child, which is not appropriate in this situation.

Choice C reason:

This statement communicates empathy and acknowledges that the child should not have experienced maltreatment.

Choice D reason:

While it's important to maintain the child's trust, the priority is to ensure the child's safety and report any suspected maltreatment to the appropriate authorities.

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Correct Answer is A

Explanation

Choice A reason:

When suctioning a tracheostomy tube, it's important to limit the suctioning time to 3 to 4 seconds to avoid hypoxia and trauma to the airway.

Choice B reason:

Sterile technique, not clean technique, is used when performing tracheostomy suctioning to prevent infection.

Choice C reason:

The catheter should be sized appropriately for the tracheostomy tube, but it should not fit too snugly to avoid causing trauma to the airway.

Choice D reason:

Instilling saline prior to suctioning is not recommended as it can lead to complications, including aspiration and increased risk of infection.

A. Sodium 140 mEq/L B. Iron 100 mcg/dL C. Calcium 9 mg/dL D. Hemoglobin 8 g/dL

Correct Answer is D

Explanation

Choice A reason:

A sodium level of 140 mEq/L is within the normal range.

Choice B reason:

An iron level of 100 mcg/dL is within the normal range.

Choice C reason:

A calcium level of 9 mg/dL is within the normal range.

Choice D reason:

Correct. A hemoglobin level of 8 g/dL is lower than the normal range for a preschooler and should be reported to the provider for further evaluation. This may indicate anemia, which requires assessment and potential intervention.

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A nurse is caring for a child and suspects the child has experienced physical maltreatment.Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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