Based on the research data, which of these children being followed by a pediatric nurse has the highest risk of experiencing fatal abuse?
A child who is 8 years old and has appendicitis.
A child who is 11 years old and has a fractured humerus.
A child who is 2 years old and has cerebral palsy.
A child who is 5 years old and has varicella.
The Correct Answer is C
Rationale:
A. Appendicitis is a common condition and does not inherently increase the risk of fatal abuse.
B. A fractured humerus may be concerning but is not as high-risk for fatal abuse as younger children with significant disabilities.
C. A child with cerebral palsy, especially at a young age, is at higher risk of fatal abuse due to increased dependency and vulnerability.
D. Varicella (chickenpox) is a contagious disease but does not significantly increase the risk of fatal abuse.
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Correct Answer is C
Explanation
Rationale:
A. Asking the client if they are comfortable calling 9-1-1 is an appropriate action. It involves assessing the client's readiness and comfort level in seeking emergency help.
B. A nurse-client dialogue about specific steps the client can take to stay safe is important for empowering the client with knowledge and strategies for protection.
C. Insisting that the client act on the plan the next time their safety is threatened may be inappropriate as it can impose undue pressure on the client, who might feel trapped or fearful. The nurse should support the client's choices and provide options rather than insist on actions.
D. A nurse-client dialogue about the potential barriers to safety is crucial for understanding and addressing obstacles that might prevent the client from seeking help or staying safe.
Correct Answer is A
Explanation
Rationale:
A. Chemical hazard is correct because chlorine gas is a chemical substance that poses risks of exposure through inhalation or contact.
B. Biologic hazard refers to exposure to biological agents such as bacteria or viruses, which is not relevant in this context.
C. Physical hazard involves physical injuries or environmental conditions like noise or temperature extremes, not applicable here.
D. Ergonomic hazard relates to repetitive strain or poor posture-related injuries, which is not related to chlorine gas exposure.