Which statement indicates the parent needs further teaching on the prevention of bronchiolitis?

A. Parents don't remember details when they are under stress

While stress can impact memory, inconsistencies in the provided explanations may raise concerns beyond the impact of stress. It's important to consider the possibility of child maltreatment and further investigate.

B. The focus should be on the injury, not how it occurred

In cases of pediatric injuries, understanding how the injury occurred is crucial for making appropriate clinical decisions. The circumstances surrounding the injury can provide important information about its cause, including the possibility of non-accidental trauma.

C. Infant bones are prone to fractures

While it is true that infants can sustain fractures more easily than older children, the nurse still needs to consider the consistency of the provided information about how the injury occurred. Inconsistent explanations may raise concerns about the accuracy of the reported events.

D. Inconsistencies in how the injury occurred may indicate child maltreatment

In cases where there are inconsistencies in the explanation of how an injury occurred, healthcare providers need to consider the possibility of child maltreatment. This is particularly important in pediatric cases where non-accidental trauma, such as child abuse, may be a concern. The nurse should be alert to the possibility of abuse, especially when the given explanations for the injury are inconsistent or change.

A. The child's current vital signs are consistent with vital signs over the past 4 hours.

Vital signs alone may not be sufficient to assess pain in a child. Children may experience pain without significant changes in vital signs. Behavioral cues and self-reporting are important indicators of pain in pediatric patients.

B. The child becomes quiet when held and cuddled.

While seeking comfort through cuddling may be a sign of distress or discomfort, it is not specific enough to determine the need for pain medication. Additional assessment is required to understand the underlying cause of the child's change in behavior.

C. The child has a temperature of 38.5°C.

Fever alone does not necessarily indicate the need for pain medication. It may suggest an infection or illness, but the specific assessment of pain requires consideration of the child's behavior, verbal expressions, and any other cues related to pain.

D. The child is lying stiffly in bed, not moving, and refusing to get up.

In this scenario, the child's behavior of lying stiffly in bed, not moving, and refusing to get up is indicative of potential pain. Children may express pain in various ways, and behavioral cues such as changes in activity, refusal to move, or guarding certain body parts can suggest discomfort. It is important for the nurse to assess and address the child's pain promptly.