Several children a day are seen in the emergency department for treatment of illnesses and injuries. The situation that would create a high index of suspicion of child abuse is a child who:
a. has repeated middle ear infections.
b. complains of abdominal cramps and upset stomach.
c. has perineal bruises and urinary tract infections.
d. displays reduced functioning at school.
C
Injuries affecting the genital region and urinary tract infections, especially if recurrent, are associated with sexual abuse. Vague somatic complaints can sometimes accompany abuse but are common and have many other causes as well; the same applies to changes in school functioning.
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A 71-year-old man has been diagnosed with gout. Which of the nurse's following dietary recommendations is most likely to help control the man's symptoms?
A) "You would benefit from changing to a vegetarian diet.". B) "You need to integrate as many leafy, green vegetables as possible into your diet.". C) "It's important that you avoid saturated fats like butter and tropical oils.". D) "You should avoid alcohol as well as many kinds of meat and seafood.".
Which of these directions should the nurse give to a client who is to take a medication administered buccally?
a. Place the medication in the mouth against the cheek until it dissolves completely. b. Place the medication under the tongue until it dissolves completely. c. Chew the medication thoroughly before swallowing it. d. Drink plenty of liquids after chewing the medication and swallowing it.
Many newborns exposed to HIV/AIDS show signs and symptoms of disease within days of birth that include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Swollen glands 2. Hard stools 3. Smaller than average spleen and liver 4. Rhinorrhea 5. Interstitial pneumonia
One step in implementing evidence-based practice is to ask a question about a clinical area of interest or an intervention. The most common method is the PICO format. Which of the following accurately defines the letters in the PICO acronym?
A) P = population B) I = institution C) C = compromise D) O = output