A nurse sees multiple bruises, in different stages of healing, on the legs, back and arms of a 1-year-old. The parent says the child "falls a lot." What action does the nurse take?
Instruct the parent on safe handling of a 1-year-old.
Contact the child abuse hotline.
Apply cold packs to the bruises and document the care delivered.
Discuss this story with a trusted individual.
The Correct Answer is B
Rationale:
A. Instruct the parent on safe handling of a 1-year-old: While education on safe handling is important, it does not address the potential abuse indicated by multiple bruises in different stages of healing.
B. Contact the child abuse hotline: The presence of bruises in varying stages of healing raises suspicion for child abuse. Nurses are mandated reporters and must immediately contact the appropriate child protective services or hotline to ensure the child’s safety and initiate an investigation.
C. Apply cold packs to the bruises and document the care delivered: Providing basic care does not address the underlying concern of potential abuse. Documentation alone is insufficient to meet legal reporting obligations.
D. Discuss this story with a trusted individual: While support and consultation are helpful, mandatory reporting to child protective services is legally required and takes precedence over informal discussion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Wait for the next break to enter the classroom: Waiting may cause the student to miss important instructional content. While minimizing disruption is important, proper protocol involves obtaining permission to enter rather than just waiting.
B. Text the faculty to ask permission to enter the classroom: Contacting the instructor shows respect for classroom rules and helps prevent disruption. This approach ensures the student follows the proper procedure while maintaining professional communication.
C. Notify the ADN administrative assistant: The administrative assistant manages administrative matters but is not responsible for granting entry to a class in progress. Notification to the assistant does not replace obtaining permission from the faculty.
D. Enter the classroom as quietly as possible: Entering without permission may still be disruptive and violates classroom policies. Even if done quietly, it does not demonstrate adherence to protocol or professional courtesy.
Correct Answer is A
Explanation
Rationale:
A. Medicaid: Medicaid is a state- and federally-funded program that provides health coverage for low-income individuals, including pregnant women. It covers prenatal care, labor and delivery, and postpartum services, making it the most appropriate option for this client.
B. Medicare: Medicare primarily provides health coverage for adults aged 65 and older or those with certain disabilities. It is not typically available for low-income pregnant women without qualifying disability status.
C. Health maintenance organization (HMO): HMOs are private insurance plans that require enrollment and monthly premiums. Eligibility is not based on income, so a low-income uninsured client may not qualify without purchasing coverage.
D. Preferred provider organization (PPO): PPOs are also private insurance plans with network providers and cost-sharing arrangements. Coverage is not automatically provided based on income, making it less accessible for uninsured, low-income clients.
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