Which observation made by an emergency department nurse would ...

[Pineapplelove6]

Which observation made by an emergency department nurse would raise the suspicion that a 3-year-old child has been maltreated?
 
  a. The parents are extremely calm in the emergency department.
  b. The injury is unusual for a child of that age.
  c. The child does not remember how he got hurt.
  d. The child was doing something unsafe when the injury occurred.

Question 2

Which is the most critical element of pediatric emergency care?
 
  a. Airway management
  b. Prevention of neurological impairment
  c. Maintaining adequate circulation
  d. Supporting the child's family

[frankwu0507]

Answer to Question 1

B
An injury that is rarely found in children or is inconsistent with the age and condition of the child should raise suspicion of child maltreatment. The nurse should observe the parents' reaction to the child but must keep in mind that people behave very differently depending on culture, ethnicity, experience, and psychological makeup. The child may not remember what happened as a result of the injury itself, for example, sustaining a concussion. Also, a 3-year-old child may not be a reliable historian. The fact that the child was not supervised might be an area for health teaching. The nurse would need to gather more information to determine whether the parents have been negligent in the care of their child.

Answer to Question 2

A
Airway management is the most critical element in pediatric emergency care. Prevention of neurological impairment is certainly a concern in pediatric emergency care; however, it is not considered the most critical element. Maintaining adequate circulation is accomplished after a patent airway is established. The focus of emergency care is stabilizing the child's physiological status. Supporting the family is important, but it is not considered to be the most critical element in pediatric emergency care.

[Pineapplelove6]

Thank you

[frankwu0507]

No problemo