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 ["3"]
Explanation
Lidocaine infusion calculation:
- Lidocaine dose ordered: 2 mg/min
- Lidocaine concentration: 2 gm in 500 mL
- Conversion factor: 1 mg = 1000 mcg
Calculations:
- Convert Lidocaine dose to mcg/min: 2 mg/min × 1000 mcg/mg = 2000 mcg/min
- Lidocaine concentration is 2 gm in 500 mL, which equals 4000 mcg/mL.
- Calculate mL/hr:
- mL/hr = (2000 mcg/min × 60 min/hr) / 4000 mcg/mL = 3 mL/hr
Answer:
- mL/hr: 3 mL/hr
Correct Answer is C
Explanation
A. Cold intolerance: Incorrect. Cold intolerance is associated with hypothyroidism, not hyperthyroidism.
B. Fatigue and lethargy: Symptoms typically seen in hypothyroidism.
C. Tremors and nervousness Correct Answer. Hyperthyroidism often presents with symptoms such as tremors (especially in the hands) and nervousness due to increased sympathetic activity. Increased metabolism and sympathetic nervous system activity lead to these symptoms.
D. Weight gain: Typically seen in hypothyroidism due to slowed metabolism.
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