A nurse assesses a client and strongly suspects child abuse. What ...

[captainjonesify]

A nurse assesses a client and strongly suspects child abuse. What should the nurse do next?
 
  1. Ask the child to speak to the police.
  2. Report the finding to child protection authorities.
  3. Provide necessary immediate care and arrange for follow-up care of the injured.
  4. Tell the parents that the nurse suspects abuse.

Question 2

A person comes into the emergency department with injuries consistent with abuse. In which order should the nurse complete the assessment of this person's injuries?
 
  1. Paresthesia
  2. Facial bruising
  3. Limited joint mobility
  4. Abdominal tenderness
  5. Skin tenderness and scars

[shaikhs]

Answer to Question 1

Correct Answer: 2

Laws mandate the reporting of suspected child abuse to child-protection authorities for follow-up. Nurses should not inject themselves into the situation, but rather make an accurate assessment and intervene through proper reporting.

Answer to Question 2

Correct Answer: 2, 5, 3, 4, 1

Victims of physical abuse may suffer a variety of injuries. During a head-to-toe assessment, the nurse may observe for indications of abuse, such as the following: Head; evidence of trauma from blows to the head, such as hematoma or facial bruises. Skin; swelling, tenderness or scars. Musculoskeletal system; fractures or evidence of previous fractures, particularly of the face, arms/legs, and ribs, or dislocated joints, especially in the shoulder when the victim is grabbed or pulled by the arm. Abdomen; intra-abdominal injuries. Neurological system; paresthesia.

[captainjonesify]

Gracias!

[yeungji]

TYSM