A child is admitted to the hospital with physical injuries. Which assessment findings would indicate that the child is a victim of abuse?
Select all that apply.
A) Confusion
B) Missing teeth
C) Inappropriate response to pain
D) Abrasions to the mouth, lips, and genitalia
E) Dehydration
Answer: B, C, D
Clinical manifestations of child abuse include abrasions to the mouth, lips, and genitalia; missing teeth; and inappropriate responses to pain. Dehydration and confusion are manifestations of elder abuse.
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The nurse is providing care for a patient recently admitted with transient ischemic attack (TIA). Which of the following statements indicates that further teaching is required?"
a. "My risk for Alzheimer's disease is increased now, so I'll have to stop driving." b. "The risk factors and symptoms of a TIA are just like those of a stroke." c. "I recognize how important it is to take my anti-hypertension medications regularly." d. "I need to stop smoking to help lower my chances of this happening again."
In order to be therapeutic when communicating with a client living in a homeless shelter, it is important to apply which techniques? (Select all that apply.)
a. Show acceptance and respect. b. Avoid clarifying terms. c. Use medical terminology to avoid talking down. d. Consider the client's environment. e. Assess client's pattern of verbal and nonverbal communication.
A nurse examines an older adult client. Which of the following would the nurse document as a normal finding?
A) Ectropion B) Episcleritis C) Chalazion D) Exophthalmos
How should the nurse promote comfort for the terminally ill client, specific to nausea and vomiting?
a. Provide frequent mouth care. b. Suction oral secretions. c. Increase the fluid intake. d. Offer a high-residue diet.