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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Coma: Possible in severe cases but not universally anticipated.
B. Hypothermia: Incorrect. Thyroid storms typically causes hyperthermia, not hypothermia.
C. Tachycardia. Tachycardia is a hallmark of thyroid storms due to excessive thyroid hormone levels stimulating the heart. Increased metabolic rate and sympathetic activity lead to rapid heart rate.
D. Fruity smelling breath: Not typically associated with thyroid storm.
Correct Answer is C
Explanation
A. Pernicious anemia: Typically involves vitamin B12 deficiency, not associated with heavy menstrual periods.
B. Folic acid deficiency anemia: Presents with similar symptoms but does not typically cause heavy menstrual bleeding.
C. Iron deficiency anemia. Iron deficiency anemia is characterized by low hemoglobin and hematocrit due to insufficient iron for red blood cell production. Symptoms of weakness, fatigue, and heavy menstrual bleeding are classic signs of iron deficiency anemia, which is confirmed by low hemoglobin and hematocrit levels.
D. Sickle cell anemia: Characterized by sickle-shaped red blood cells and is genetic in nature, not related to heavy menstrual bleeding.
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