Author Question: Which is probably the most important criterion on which to base the decision to report suspected ... (Read 21 times)

awywial · **on:** Jun 28, 2018

Which is probably the most important criterion on which to base the decision to report suspected child abuse?

a. Inappropriate parental concern for the degree of injury
b. Absence of parents for questioning about child's injuries
c. Inappropriate response of child
d. Incompatibility between the history and injury observed

Question 2

A nurse is beginning chelation therapy on a child for lead poisoning. Which intervention should the nurse implement during the time the child is receiving chelation therapy?

a. Calorie counts
b. Strict intake and output
c. Telemetry monitoring
d. Contact isolation

bobsmith · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Conflicting stories about the accident are the most indicative red flags of abuse. Inappropriate response of caregiver or child may be present, but is subjective. Parents should be questioned at some point during the investigation.

Answer to Question 2

ANS: B
Because calcium disodium edetate (EDTA) and lead are toxic to the kidneys, a nurse should keep strict records of intake and output to monitor renal functioning. Adequate hydration is essential during therapy because the chelates are excreted via the kidneys. Calorie counts, telemetry, or contact isolation would not be nursing interventions appropriate for a child undergoing chelation therapy.