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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Enoxaparin. Enoxaparin is a low molecular weight heparin used for prophylaxis against DVT. It works by inhibiting clotting factors and is commonly used postoperatively to prevent DVT formation.

B. Alteplase (tPA): Alteplase is a thrombolytic agent used to dissolve clots and is not used for DVT prophylaxis.

C. Warfarin: Warfarin requires monitoring and has a delayed onset, making it less suitable for immediate postoperative DVT prophylaxis.

D. Clopidogrel: Clopidogrel is an antiplatelet agent and is not typically used for DVT prophylaxis postoperatively.

A. Oppositional defiant disorder (ODD) B. Attention deficit hyperactivity disorder (ADHD) C. Intermittent explosive disorder (IED) D. Conduct disorder (CD)

Correct Answer is D

Explanation

A. Oppositional defiant disorder (ODD): Characterized by defiance, but not typically bullying behaviors.

B. Attention deficit hyperactivity disorder (ADHD): May include impulsivity and hyperactivity, but not necessarily bullying.

C. Intermittent explosive disorder (IED): Involves impulsive outbursts of aggression, not chronic bullying.

D. Conduct disorder (CD). Conduct disorder involves persistent patterns of behavior that violate societal norms and the rights of others, including aggression and bullying. Bullying behavior and aggression are common manifestations of conduct disorder.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a postoperative client following a total knee replacement. Which of the following medications should the nurse anticipate the provider to prescribe to prevent the formulation of a deep vein thrombosis (DVT)?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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