A 4 year child comes to the emergency department. The child…

A 4 year child comes to the emergency department. The child is wearing a Superman costume and is crying in pain. The parent says to the triage nurse, “I think he broke something when he fell off the bed. I told him not to jump on the bed. He kept saying, look at me ‘I am flying.'” The x-ray reveals a broken clavicle. Is this a true or false statement? Incompatibility between the history and the injury is probably the most important criterion for the decision to report suspected abuse.

A post-op patient who underwent spine surgery has returned t…

A post-op patient who underwent spine surgery has returned to the medical-surgical unit after recovery. The patient had an indwelling urinary catheter during the surgery that was taken out three hours ago in the PACU; however, the client cannot urinate and has informed their nurse.   The patient has no IV fluids running, has started a regular diet, and his pain is well controlled. What should be the next course of action for the nurse?