An 11-year-old child has been brought to the emergency room because the mother has noted petechiae on his elbows. When the nurse assesses the child, she notes that the boy has purpura on his legs. What action should be taken?

1. Notify the doctor of the medical emergency.
2. Assess if the child has had hematemesis.
3. An abuse investigation should be discussed with a social worker.
4. All of the above would be correct actions.


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1. This is not a medical emergency, but should be assessed.
2. The signs are consistent with hematemesis.
3. Because of where the marks are on the child's body, further assessment is needed before notifying a social worker.
4. The signs are consistent with hematemesis.

Nursing

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