The nurse notices that the mother of a 2-year-old boy brings him into the clinic quite frequently for various injuries and suspects there may be some child abuse involved. During an inspection of his mouth, the nurse should look for:
a. Swollen, red tonsils.
b. Ulcerations on the hard palate.
c. Bruising on the buccal mucosa or gums.
d. Small yellow papules along the hard palate.
ANS: C
The nurse should notice any bruising or laceration on the buccal mucosa or gums of an infant or young child. Trauma may indicate child abuse from a forced feeding of a bottle or spoon.
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The nurse works in a pediatric unit. In working with a parent who is suspected of Munchausen syndrome by proxy, it is very important for the nurse to:
1. Confront the parent with concerns of possible abuse. 2. Carefully document parent–child interactions. 3. Try to keep the parent separated from the child as much as possible. 4. Explain to the child that the parent is causing the illness, and that the health team will prevent the child from being harmed
Which of the following tests is beneficial for a nurse to detect alcoholic behaviors when assessing a client with alcohol dependence?
A) CAGE screening test C) Rule of one hundreds B) Blood alcohol level D) Breath alcohol concentration test
The nurse is collecting a urine specimen from a pregnant patient during a prenatal visit. For what will the nurse test this patient's urine? (Select all that apply.)
A) Protein B) Glucose C) Bacteria D) Drug levels E) White blood cells
A patient has taken levodopa (Dopar) for Parkinson's disease for 2 weeks but reports no improvement in the symptoms. Which response by the nurse is correct?
a. "Another agent will be needed to manage your symptoms." b. "Double the dose to see whether an effect occurs." c. "It may take several months for a response to occur." d. "The prescriber may need to change your drug regimen."