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 B
Explanation
A. "It's uncontrolled proliferative cell growth that is cancerous." Describes cancerous growth, not hypertrophy.
B. "It's the enlargement of an organ or tissue from the increase in cell size." Defines cellular hypertrophy accurately. Hypertrophy involves an increase in the size of cells, leading to the enlargement of tissues or organs, often in response to increased workload or stimulation.
C. "It's the wasting away of tissue or organs." Describes atrophy, not hypertrophy.
D. "It's the abnormal growth or development of cells." Broad definition that does not specifically describe hypertrophy.
Correct Answer is D
Explanation
A. A 45-year-old female who has a family history of autoimmune disorders. Autoimmune disorders can increase the risk of some thyroid conditions, but not necessarily hyperthyroidism.
B. A 73-year-old male who has an iodine deficiency: Iodine deficiency can lead to goiter and hypothyroidism but is not a common cause of hyperthyroidism.
C. A 25-year-old female who has metabolic syndrome: Metabolic syndrome is not directly linked to thyroid dysfunction.
D. A 35-year-old male who has Graves' disease: Graves’ disease is an autoimmune disorder that leads to overproduction of thyroid hormones, resulting in hyperthyroidism..
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