The Nurse Has Just Started Assessing a Young Child Who

question 26

Multiple Choice

The nurse has just started assessing a young child who is febrile and appears very ill. There is hyperextension of the child's head (opisthotonos) with pain on flexion. Which is the most appropriate action?

• A) Refer for immediate medical evaluation.
• B) Continue assessment to determine cause of neck pain.
• C) Ask parent when neck was injured.
• D) Record "head lag" on assessment record, and continue assessment of child.

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Definitions:

Plan Objectives

Specific, measurable goals that an organization or project aims to achieve as part of its strategic or operational planning.

Reputational Objective

A goal set by individuals or organizations to maintain or improve their standing and perception among stakeholders and the public.

Negative Event

An occurrence that negatively impacts an individual, organization, or entity, often requiring crisis management.

Rebuild Reputation

The process of restoring the good name or standing of a person or organization, often following a period of damage or decline in public perception.