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What is the priority nursing intervention for a 5-year old child with bruises and burns?

  1. Report your suspicion of the maltreatment in accordance with local regulations

  2. Apply ice to the bruises and consult wound care

  3. Engage in therapeutic communication to determine the MOI

  4. Provide the family with injury prevention resources

The correct answer is: Report your suspicion of the maltreatment in accordance with local regulations

The priority nursing intervention in this scenario is to report the suspicion of maltreatment in accordance with local regulations. This is crucial because a child with bruises and burns may be experiencing abuse or neglect, making it imperative to ensure the child's safety and well-being. Medical professionals are mandated reporters; therefore, they have a legal and ethical responsibility to report any signs of potential abuse to the appropriate authorities. By prioritizing this action, nurses help initiate an investigation that could protect the child from further harm and ensure they receive the necessary support and care. Addressing potential maltreatment takes precedence over other interventions due to the immediate risk to the child's safety. While other options may address the child's injuries or involve family communication, they do not take the critical step of safeguarding the child's welfare as reporting does.