A clinic nurse in an immigrant community has observed that some ...

[mia]

A clinic nurse in an immigrant community has observed that some children have small burned areas on their skin. One child has a burn that has become infected.
 
  On exploration, the nurse learns that the burns are applied as a folk remedy for temper tantrums. What is the nurse's most appropriate initial response? a. Tell the parents that this type of treatment is ignorant
  b. Ask the family if the treatment has been effective
  c. Report the family to Child Protective Services
  d. Explain the legal consequences of this behavior

Question 2

Systolic murmurs are considered abnormal if they are:
 
  a. grade I c. grade III or greater
  b. grade II d. grade 0

[jordangronback]

Answer to Question 1

D
The parents are using a remedy that has been acceptable in their culture. The nurse must show respect for their culture, but still help the parents to understand that the remedy is not acceptable in this country and could have legal consequences. The next step would be to discuss other options for managing children's temper tantrums.

Answer to Question 2

C

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A Incorrect. A heart murmur of grade III or less is considered an innocent murmur and is not abnormal.
B Incorrect. A heart murmur of grade III or less is considered an innocent murmur and is not abnormal
C Correct. Systolic murmurs are considered abnormal if they are loud and grade III or greater. A grade III is loud but not accompanied by a thrill.
D Incorrect. A systolic murmur is considered abnormal at grade III or greater. Murmurs are graded based on their intensity from grade I to grade VI, with VI being the most severe. There is not a grade 0.

[mia]

Thanks for the timely response, appreciate it

[jomama]

Gracias!