Charles, the nurse, is working in an emergency department and is assessing a preschool-age child who reports abdominal pain. Which of the following findings should alert the nurse to possible abuse (select all that apply)
Areas of ecchymosis on the torso.
Mismatched clothing
Abrasions on knees
abdominal rebound tenderness
Round burn marks on forearms
Correct Answer : A
A. Areas of ecchymosis on the torso. Ecchymosis on the torso, especially in non-ambulatory children, can be concerning for abuse. Unexplained bruises in unusual locations or patterns are red flags for physical abuse.
B. Mismatched clothing: Typically not an indicator of abuse but could suggest neglect.
C. Abrasions on knees: Common in active children and not specific to abuse.
D. Abdominal rebound tenderness: Could indicate abdominal pathology but not necessarily abuse.
E. Round burn marks on forearms: Could suggest burns but not specific to abuse without further context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "If you become pregnant, low thyroid hormone levels can affect your developing fetus." Hypothyroidism during pregnancy can lead to developmental issues in the fetus. Adequate thyroid hormone levels are crucial for fetal neurodevelopment and growth.
B. "Hypothyroidism can cause autoimmune disorders over time.": Hypothyroidism itself is often caused by autoimmune disorders like Hashimoto's thyroiditis, not the other way around.
C. "Low thyroid hormone levels will cause your metabolism to speed up and heart rate to increase.": This describes hyperthyroidism, not hypothyroidism.
D. "Low blood pressure is usually associated with hypothyroidism.": Hypothyroidism can lead to increased blood pressure, not low blood pressure.
Correct Answer is ["B","C","D","E"]
Explanation
A. Client eats red meat daily: Red meat is a good source of iron. Daily consumption of red meat, if tolerated, would be less likely to be a risk factor.
B. Client has had gastric bypass surgery: Gastric bypass surgery can limit iron absorption from food.
C. Client has had treatment for gastrointestinal cancer: Treatments like surgery or radiation can damage the intestines, affecting iron absorption.
D. Client eats mostly prepackaged, processed foods: Processed foods are often low in iron content.
E. Client has ulcerative colitis: Chronic inflammatory bowel conditions like ulcerative colitis can lead to blood loss and iron deficiency. Can lead to malabsorption of nutrients, including iron.
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