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:

NASW Code

The code of ethics developed by the National Association of Social Workers, guiding principles for professional conduct and decision-making.

Skills

Abilities and expertise developed through practice and education to perform tasks effectively.

Agency Policy

Official rules or guidelines that govern the operations and decision-making processes within an organization.