Several children are seen in the emergency department for treatment of illnesses and injuries daily
The situation that would create a high index of suspicion of child abuse is a child
a. who has repeated middle ear infections.
b. who has severe colic.
c. who has bite marks.
d. who has croup.
C
Injuries such as immersion or cigarette burns, facial fractures, whiplash, bite marks, traumatic
injuries, bruises, and fractures in various stages of healing suggest the possibility of abuse. In older
children, vague complaints such as back pain may also be suspicious. Ear infections, colic, and
croup are not problems that have been induced by violence.
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A community health nurse is assigned to cover a school health office when the school's nurse is ill. A child is waiting for the nurse's arrival, saying a particular medication is needed. Which of the following can the nurse expect to find
in the school health office? (Select all that apply.) a. A nursing policy book with standing orders and nursing protocols b. Medications clearly labeled with student name, as well as typical medication information (e.g., name, dose) c. Approval from the student's teacher for the student to see the nurse for the medication each day d. The student's written assent for the medication to be administered when requested e. Written request from a health care provider for that student to receive that medication f. Written request from the student's parents for the specific medication to be administered
When assessing the newborn, which finding should alert the nurse to a potential complication?
A) A loud cry B) Respiratory rate of 40 breaths/minute C) Nasal flaring D) Acrocyanosis
The most frequent types of sentinel events as tracked by The Joint Commission during 2011, 2012, and 2013 included all of the following EXCEPT
A. Hospital-acquired infection B. Wrong site, wrong patient, or wrong procedure C. Unintended retention of a foreign body D. Delay in treatment
Immunization is available for all of the following communicable diseases except
1. Cholera. 2. Haemophilus influenza type B. 3. Hepatitis A. 4. Hepatitis C. 5. Tuberculosis.