Author Question: A 4-year-old child is seen in the emergency department with a spiral fracture of the right arm. ... (Read 80 times)

maegan_martin · **on:** Jul 8, 2018

A 4-year-old child is seen in the emergency department with a spiral fracture of the right arm. X-ray examination shows previously broken and healed bones. Which of the following is the immediate responsibility of the nurse?

a. Call social services to immediately set up foster care for the child
b. Provide information about parenting and anger management classes
c. Report the child abuse to the local legal authorities
d. Try to establish rapport and trust with the child's family

Question 2

Which of the following is the single leading preventable cause of death in the United States?

a. Alcohol
b. Firearms (guns)
c. Overweight and obesity
d. Tobacco use

BAOCHAU2803 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: C
Spiral fractures are only possible from abuse, because they require a wringing motion to occur. When working with victims of child abuse, the primary obligation of all health care providers is to protect the child. The abuse must be reported as a legal and ethical obligation.

Answer to Question 2

ANS: D
Tobacco use is a major problem in this country and is the single leading preventable cause of death in the United States. Overweight and obesity is the second leading cause of preventable death in the United States. Alcohol and firearms (guns) are not leaders in the causes of preventable death in the United States.