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.
Nurse-patient interaction; nonverbal communication
Acute exacerbations of asthma can require management in the emergency department. The child is place
A nurse administers an intermittent bolus feeding.
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