The nurse is caring for a 6-year-old girl who was injured in a ...

[Diane]

The nurse is caring for a 6-year-old girl who was injured in a bicycle accident. Which question would be most important for the nurse to ask during the health history?
 
  A) Has she been diagnosed with any chronic disorders?
  B) Is your daughter currently taking any medications?
  C) Is she allergic to any medications or drugs?
  D) Tell me how the bicycle accident happened.

Question 2

Which of the following assessment findings would be least suggestive of child abuse?
 
  A) Consistent delays in seeking treatment for the child's injuries
  B) Frequent changes in history information with visits
  C) Injuries that are inconsistent with the reported traumatic event
  D) Sexual behavior that correlates with child's developmental age

[huda]

Answer to Question 1

D
Response:
The priority is to determine the nature of the emergency so that appropriate interventions may be initiated. This will also provide direction for obtaining more in-depth information as time permits. Information about allergic reactions to drugs, medications being taken, and chronic disorders that may affect treatment will be gathered next.

Answer to Question 2

D
Response:
Sexual behavior that correlates with the child's developmental age would be appropriate and not an indicator of child abuse. A delay in seeking medical treatment, a history that changes over time, or a history of trauma that is inconsistent with the observed injury all suggest child abuse.