What is the first action a nurse should take when a kindergarten child presents with bruises and a stomachache?

The first action a nurse should take when encountering a kindergarten child with bruises and a stomachache is to inquire about the bruises. This approach is critical for several reasons. First, asking the child about their injuries allows the nurse to gather firsthand information about how the bruises occurred, which is essential for understanding the context of the injuries. This can help distinguish between typical accidental bruising common in young children and potential signs of abuse or an underlying medical condition.

In situations involving children, it's crucial to take any signs of physical trauma seriously, particularly when there are additional symptoms like a stomachache. Opening a dialogue provides an opportunity for the child to express themselves, potentially shedding light on experiences or situations that may require further investigation.

Other options may not address the immediate need for assessment and understanding. For instance, dismissing bruises as common without investigation could overlook serious issues. Similarly, reporting to parents or discussing with the teacher without first gathering information from the child may limit the understanding of the situation and could delay necessary intervention if there is a risk of harm. Thus, initiating a conversation with the child is the best first step in this scenario.