Examkin

Soru

Zorluk: OrtaAbuse or Neglect

A practical nurse is providing care for a 3-year-old toddler on a pediatric unit who sustained a spiral fracture of the right femur. The toddler's parent explains, "My child just tripped over a small toy on the carpet and fell down." Recognizing that this mechanism of injury is inconsistent with a spiral fracture, which action should the nurse take?

  1. Notify the charge nurse and initiate the facility protocol for reporting suspected child abuse.Cevap
  2. B
    Interview the toddler privately to obtain concrete proof of the event before making an official report.
  3. C
    Inform the parent that their explanation of the event does not match the severity of the bone fracture.
  4. D
    Discuss the toddler's injury with an unassigned pediatric nurse to validate the suspicion of abuse.

Cevap

Notify the charge nurse and initiate the facility protocol for reporting suspected child abuse.
Spiral fractures in non-ambulatory or newly ambulatory children are highly suspicious for non-accidental trauma, as they require a forceful twisting motion. When a caregiver's explanation does not match the physical evidence, the nurse has a legal obligation as a mandated reporter to notify the appropriate authorities and nursing leadership immediately. Absolute proof is not required to file a report.

Adım Adım Çözüm

1
Evaluate the mechanism of injury against the physical findings.
The nurse identifies that a spiral fracture (a twisting injury) does not typically occur from simply tripping over a toy on a carpet.
Recognizing inconsistencies between a caregiver's story and the actual physical injury is a critical first step in identifying potential non-accidental trauma.
2
Determine the legal and ethical responsibility of the nurse in this situation.
The nurse recognizes the obligation as a mandated reporter to report reasonable suspicions of child abuse.
Healthcare professionals are required by law to report suspected abuse; absolute proof is not required to make a report.
3
Select the safest and most appropriate immediate intervention.
The nurse chooses to escalate the concern to the charge nurse and follow official reporting protocols without alerting the parents.
This ensures the child's safety, complies with legal mandates, and allows trained professionals (such as child protective services) to investigate.

Anahtar Kavram

Mandated Reporting and Abuse Recognition
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Konular

Abuse or Neglect

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