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. Low socioeconomic status: Low socioeconomic status can contribute to stressors and lack of resources, increasing the risk of abusive behaviors like shaking. Stressors related to poverty and inadequate support systems can contribute to caregiver frustration and abuse.
B. Inadequate parental education: Education levels can influence parenting practices but are not as directly linked to the physical act of shaking.
C. Having multiple siblings: Having multiple children does not directly increase the risk of shaking unless coupled with other stressors.
D. Physical disability of the caregiver: While disabilities can pose challenges, they do not inherently increase the risk of shaking a child.
Correct Answer is B
Explanation
A. Limit intake of iron-rich foods to prevent iron overload: Incorrect; iron intake should be increased to correct deficiency.
B. Focus on consuming foods high in vitamin C to enhance iron absorption. Vitamin C enhances non-heme iron absorption from plant-based sources. Vitamin C-rich foods (e.g., citrus fruits, tomatoes) aid in the absorption of iron from plant sources like spinach and legumes.
C. Avoid foods high in iron such as leafy greens and legumes: These are actually beneficial for iron-deficiency anemia.
D. Increase intake of iron-rich foods such as red meat and spinach: Correct for addressing iron deficiency.
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