A nurse is caring for a school-age child who has full-thickness burns to 30% of the total body surface area (TBSA). The nurse is initiating the client's plan of care. Complete the following sentence by using the list of options.
The client is at highest risk for developing

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, evidenced by the client's

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.

Choice A reason: Assess the rest of the child's body for a rash.

The child's red marks across the cheeks are characteristic of fifth disease (also known as erythema infectiosum). Fifth disease is caused by parvovirus B19 and typically presents with a bright red rash on the cheeks, often referred to as "slapped cheek" appearance. The rash may eventually spread to other areas of the body, including the arms, trunk, thighs, and buttocks. It is usually mild and self-limiting.

Choice B reason: This option is not appropriate for a rash caused by fifth disease. There is no indication of child abuse or neglect.

Choice C reason: The rash is due to a viral infection and not related to trauma or injury. Questioning the parents is unnecessary.

Choice D reason: While assessing the child's temperature is important in general nursing care, it is not specifically related to the red marks on the cheeks in this case.

The correct answer is D) A child whose parents answer questions for the child.

Here is a detailed explanation for each choice:

Choice A reason:

A child who has a BMI indicating obesity: While obesity can be a concern for a child’s health, it is not a direct indicator of abuse. Obesity can result from various factors, including genetics, diet, and physical activity levels. It does not necessarily suggest that the child is experiencing abuse or neglect.

Choice B reason:

A child who has frequent visitors: Frequent visitors can indicate a strong support system and concern for the child’s well-being. It is not typically associated with abuse. In fact, children who are abused often have fewer visitors and less social support.

Choice C reason:

A child who uses the call light frequently: Frequent use of the call light may indicate that the child is seeking attention or has unmet needs, but it is not a specific indicator of abuse. Children may use the call light for various reasons, including anxiety, pain, or a need for reassurance.

Choice D reason:

A child whose parents answer questions for the child: This behavior can be a red flag for abuse. When parents consistently answer questions for the child, it may indicate that they are controlling the child’s communication and preventing them from speaking freely. This can be a sign of emotional abuse or manipulation.