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    Ati rn 302 paediatrics proctored exam

    A nurse is caring for a child who has red marks across his cheeks. Which of the following actions should the nurse take?

    Explanation & Rationale

    Rationale: A. Checking temperature is important if an infection is suspected, but the priority is to assess the extent and characteristics of the marks. B. Asking parents may be appropriate later, but assessment of the child comes first to gather objective data. C. A referral to child protective services should not be made without further assessment and evidence. D. The nurse should first assess the rest of the child’s body for a rash to determine if the cheek marks are part of a systemic condition (e.g., erythema infectiosum/"slapped cheek" rash) or another cause.

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