What should be the nurse's priority action if child maltreatment is suspected?
Keep the suspicion to oneself and monitor the situation
Wait for further evidence before taking any action
Confront the caregiver about the suspicions
Report the suspicion to the appropriate agency
The Correct Answer is D
Rationale:
A. Keeping the suspicion to oneself can delay necessary intervention and put the child at further risk.
B. Waiting for further evidence is not appropriate; nurses are mandated reporters and do not need to prove abuse—only to report suspicion.
C. Confronting the caregiver may escalate the situation and is not within the nurse’s role for handling suspected maltreatment.
D. Reporting to the appropriate agency (such as child protective services) is the correct and legal action required to protect the child and initiate proper investigation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
Rationale:
Prescribed dose = 50 mcg
Available dose = 0.1 mg per tablet
Convert 0.1 mg to mcg:
0.1 mg = 100 mcg
Set up a proportion:
100 mcg : 1 tablet = 50 mcg : X tablet
Cross multiply:
100 × X = 50 × 1
100X = 50
X = 50 ÷ 100 = 0.5 tablet
Correct Answer is A
Explanation
Rationale:
A. Being calm and able to speak indicates relief of respiratory distress, improved air movement, and adequate oxygenation, signs of improvement.
B. A downward trend in oxygen saturation would indicate worsening of the condition.
C. An increasing respiratory rate signals ongoing or worsening respiratory distress.
D. Frequently changing positions suggests the patient is still trying to compensate for difficulty breathing, not improvement.
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