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 D

Explanation

Choice A reason:

Tinnitus (ringing in the ears) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.

Choice B reason:

Pruritus (itching) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.

Choice C reason:

Polyuria (excessive urination) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.

Choice D reason:

Abdominal pain is a common symptom of a vaso-occlusive crisis in sickle cell anemia. This pain is due to the obstruction of blood flow in the small vessels of the abdomen, leading to tissue

ischemia and pain.

A. Color tool B. FACES C. Visual analog D. FLACC

Correct Answer is D

Explanation

Choice A reason:

The color tool is not a pain assessment tool; it is used to assess oxygen saturation levels.

Choice B reason:

The FACES scale is commonly used for children who are 3 years of age and older, but it may not be suitable for an 18-month-old toddler who may have limited ability to express pain through facial expressions.

Choice C reason:

The visual analog scale is typically used for older children and adults. It may not be effective for assessing pain in an 18-month-old toddler.

Choice D reason:

The FLACC scale (Face, Legs, Activity, Cry, Consolability) is a validated pain assessment tool for young children, including toddlers. It evaluates specific behaviors related to pain, making it suitable for this age group.

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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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