A 4-year-old is brought to the emergency department with a burn. What would alert the nurse to the possibility of child abuse?
A) Burn assessment correlates with mother's report of contact with a portable heater.
B) Parents state that the injury occurred approximately 15 to 20 minutes ago.
C) Clear delineations are noted between burned and nonburned skin areas.
D) The burn area appears asymmetric and nonuniform.
Ans: C
Suggested signs of a burn resulting from possible child abuse include a uniform appearance of the burn with clear delineations of burned and nonburned areas. Abuse would also be suspected if the report of the injury was inconsistent with burn injury or there was a delay in seeking treatment. An asymmetric nonuniform burn often correlates with a splatter-type burn resulting from the child pulling a source of hot fluid onto himself or herself.
You might also like to view...
The nurse is caring for a client with an endotracheal tube who is on a ventilator. When assessing the client, the nurse knows to maintain what cuff pressure to maintain appropriate pressure on the tracheal wall?
A) Between 10 and 15 mm Hg B) Between 15 and 20 mm Hg C) Between 20 and 25 mm Hg D) Between 25 and 30 mm Hg
The nurse is caring for a client who is experiencing discomfort following a tongue piercing. Which instruction is most helpful?
A) Floss your teeth daily. B) Eat soft foods. C) Brush your teeth carefully. D) Rinse mouth with antibacterial mouthwash.
The nurse is caring for a patient who is on a cardiac monitor. The nurse realizes that the sinus node is the pacemaker of the heart because it is:
a. the fastest pacemaker cell in the heart. b. the only pacemaker cell in the heart. c. the only cell that does not affect the cardiac cycle. d. located in the left side of the heart.
The perinatal nurse provides information to a laboring woman with twins that the second twin will normally be born within:
A) 5 minutes of the first twin B) 15 minutes of the first twin C) 30 minutes of the first twin D) 60 minutes of the first twin