The Nurse Has Just Started Assessing a Young Child Who

question 11

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.What is the priority 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.

---

Definitions:

Writing

The process of using symbols, typically letters of the alphabet, to communicate thoughts and ideas in a readable form.

Court Waive

A judicial decision to relinquish or forego certain legal rights, fees, or penalties, often in the interest of justice or to facilitate legal processes.

Requirement Of Writing

A legal principle that certain types of contracts or agreements must be in writing to be enforceable.

Restraint Of Trade

Legal provisions that limit or restrict business activities in order to prevent unfair competition or monopolistic practices.