A nurse is caring for a client who is at the end of life. Which of the following interventions is most effective in reducing the client's social isolation?

Explanation:

A. The child was brought to the facility 30 minutes after the injury occurred:

The timing of seeking medical attention alone may not necessarily indicate abuse. However, if there are inconsistencies in the reported mechanism of injury or if there is a delay in seeking medical care without a valid explanation, it can raise suspicion and warrant further investigation.

B. The parents report that the child injured herself by falling off the couch:

While falls are common causes of fractures in toddlers, spiral fractures are more commonly associated with twisting or torsional forces, which can raise concerns about non-accidental trauma. If the reported mechanism of injury does not align with the type of fracture or if there are inconsistencies in the history provided, it may indicate potential abuse.

C. The child begins to cry when her arm is examined by the provider:

It is common for children to cry or show discomfort during a physical examination, especially if they are in pain or feeling anxious. While this finding alone may not indicate abuse, it is essential to assess the child's behavior, pain response, and overall presentation for any additional signs or patterns of abuse.

D. The child's examination shows a single injury:

The presence of a single injury does not necessarily rule out abuse. Abusive injuries can be single or multiple, and the absence of other injuries does not negate the possibility of abuse. It is crucial to consider the context, history, and clinical findings comprehensively when evaluating for abuse.

Explanation:

A. DNR:

DNR stands for "Do Not Resuscitate." It is a medical order that indicates a patient's preference not to receive cardiopulmonary resuscitation (CPR) in case of cardiac or respiratory arrest. This abbreviation is unrelated to medication administration instructions and does not indicate "to administer medications before meals."

B. ONG:

The abbreviation ONG is not commonly used in medical contexts to indicate medication administration instructions or timing. It does not specifically relate to the administration of medications before meals.

C. ac:

The abbreviation "ac" is derived from the Latin term "ante cibum," which translates to "before meals." In medical orders, "ac" is used to indicate that a medication should be taken or administered before meals. For example, "Take 1 tablet ac" means to take one tablet before meals.

D. Tx:

The abbreviation "Tx" is commonly used in medical contexts to denote treatment or therapy. However, it does not specifically indicate "to administer medications before meals." It is a broader term that can refer to various aspects of patient care and interventions.