The mother of a 3-year-old who has been diagnosed with an ear infection states, "I can't understand why you won't give my child antibiotics. Can't you see that she is sick?" Which of the following responses by the nurse is appropriate at this time?

I know how you feel, but the best medicine for your child right now is acetaminophen.

Your child will get better on her own in a few days.

I am also very surprised that the pediatrician did not order antibiotics.

It is likely that the ear infection is caused by a virus and antibiotics do not kill viruses.

Answer and Explanation

The Correct Answer is D

Choice A reason: This response is not appropriate because it does not address the mother's concern about antibiotics. It also implies that the nurse is making a medical decision for the child, which is beyond the scope of practice.

Choice B reason: This response is not appropriate because it does not provide any reassurance or education to the mother. It also sounds dismissive of the child's condition and the mother's worry.

Choice C reason: This response is not appropriate because it undermines the authority and judgment of the pediatrician. It also creates doubt and confusion in the mother's mind about the quality of care her child is receiving.

Choice D reason: This response is appropriate because it explains the rationale for not prescribing antibiotics for an ear infection. It also educates the mother about the difference between viral and bacterial infections and the appropriate use of antibiotics.

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Correct Answer is D

Explanation

Choice A reason: This situation does not require the involvement of the hospital ethics committee, as the parents are not refusing or requesting any treatment that is contrary to the standard of care. The surgeon is providing them with information and options, and the parents are free to make their own decision.

Choice B reason: This situation does not involve any ethical dilemma, as the parents are giving their permission for the surgery, and the telephone consent is legally valid. The hospital ethics committee is not needed to resolve any conflict or uncertainty.

Choice C reason: This situation is an example of ethical research involving children, as the child is giving assent and the parents are giving consent for the new protocol. The hospital ethics committee is not required to intervene, as the research protocol has already been approved by the institutional review board.

Choice D reason: This situation is an appropriate case for the hospital ethics committee, as it involves a life-and-death decision that affects the child's best interests and the parents' rights. The hospital ethics committee can help to mediate the conflict, provide guidance, and facilitate a resolution.

A. Infant bones are prone to fractures. B. The focus should be on the injury not how it occurred. C. Inconsistencies in how injury occurred may indicate child maltreatment. D. Parents don't remember details when they are under stress.

Correct Answer is C

Explanation

Choice A reason: This is not the correct answer because infant bones are not prone to fractures. They are more flexible and resilient than adult bones, and require more force to break.

Choice B reason: This is not the correct answer because the focus should not be only on the injury, but also on how it occurred. The nurse should assess the mechanism of injury and the history of the child and the family for any signs of abuse or neglect.

Choice C reason: This is the correct answer because inconsistencies in how injury occurred may indicate child maltreatment. The nurse should be alert for any discrepancies or changes in the story, or any explanations that do not match the type or severity of the injury.

Choice D reason: This is not the correct answer because parents don't necessarily forget details when they are under stress. They may be anxious or emotional, but they should still be able to provide a consistent and coherent account of what happened.

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The mother of a 3-year-old who has been diagnosed with an ear infection states, "I can't understand why you won't give my child antibiotics. Can't you see that she is sick?" Which of the following responses by the nurse is appropriate at this time?

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Which situation would be appropriate to refer to the hospital ethics committee?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

A 10-year-old Hindu child who has just been diagnosed with diabetes is admitted to the pediatric clinical unit. The nurse is counseling the parents and child regarding the child's dietary needs. Which of the following statements by the nurse would be appropriate?

The mother of a 3-year-old who has been diagnosed with an ear infection states, "I can't understand why you won't give my child antibiotics. Can't you see that she is sick?" Which of the following responses by the nurse is appropriate at this time?

The nurse is using the FLACC scale to evaluate pain in a preverbal child. The nurse makes the following assessment: Face: occasional grimace; Leg: relaxed; Activity: squirming, tense; Cry: no cry; Consolability: content, relaxed. The nurse records the patient's pain using the FLACC assessment as:

Shortly before a child's elective surgery, the parent tells the nurse, "I am having second thoughts about my child undergoing this surgery." The nurse respects the parent's concern and calls the surgeon. What ethical/moral principle is represented by this situation?

Which assessment indicates to a nurse that a school-age child is in need of pain medication?

Which factor is most likely to contribute to respiratory compromise in a child?

Parents tell the nurse that their two-year-old son often sleeps with them. They seem unconcerned about this. The nurse's response should be based on which of the following?

When obtaining a history from parents of a 4-year-old child, what indicator should prompt the nurse to consider suspected child abuse?