Which of the following is a likely indicator of abuse of a 2-year-old child?
1. Parents indicating that they did not see the event occur
2. Inconsistency of stories between caregivers
3. Bruising noted on the knees and shins
4. Acting out behavior of the child
2
Rationale:
1. This answer is a logical explanation for this age group.
2. Inconsistency of stories is a red flag for abuse.
3. This answer is a logical explanation for this age group.
4. This answer is a logical explanation for this age group.
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The nurse is ordered to apply restraints to a toddler who keeps pulling at the tubes in his arm. Which of the following criteria must occur to ensure proper use of these restraints? Select all answers that apply
A) The nurse must check the restraints every 15 minutes while they are in place. B) Secure the restraints with ties to the side rails, not the bed or crib frame. C) Assess the temperature of the affected extremities, pulses, and capillary refill every 15 minutes after placement. D) Use a clove-hitch type of knot to secure the restraints with ties. E) Remove the restraint every 2 hours to allow for range of motion and repositioning. F) Encourage parent participation, providing continuous explanations about the reasons and time frame for restraints.
When providing education to a client on how to read a food label, the nurse should discuss the following parts: (Select all that apply.)
1. The ingredient list. 2. The nutritional facts panel. 3. The distribution company. 4. Any nutritional claims. 5. The amount of food coloring contained in the product.
The nurse has a client in the clinic who is complaining of nausea and vomiting. Which of the following can be a cause of nausea?
A) Increase in digestive enzyme activity B) Increase in gastric acid secretion C) Intestinal obstruction D) Rhinovirus
The nurse is teaching a client who has been diagnosed with vulvitis. Which statement by the client indicates that the nurse's instruction has not been effective?
1. "I should stop having sexual intercourse." 2. "Non-deodorized tampons could make this condition recur." 3. "Wearing pantyhose daily will improve the problem." 4. "A different brand of soap might eliminate the irritation."