The mother of a toddler calls the pediatrician's office to report that her child fell off of the bottom step in the basement and landed on the cement, bumping his head. The mother asks the nurse what to do. The nurse's best response is to:
1. Instruct the mother to take the child to the nearest Emergency Department.
2. Instruct the mother to call 911.
3. #the mother in order to determine the child's current condition.
4. Instruct the mother how to check pupils and perform a mental status examination.
3
Rationale: Before offering instructions on how to treat the child, it is important for the nurse to question the mother in order to determine the toddler's current condition. Is he alert? Did he lose consciousness? Is he walking around or crying? Can he identify his favorite toys? What do his pupils do when light is shined on them? If he is unconscious, is he breathing? Does he have a pulse? Answers to these questions will determine if the child needs to be taken to the Emergency Department or can be monitored by the mother at home.
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