A kindergarten student is frequently violent toward other children. A school nurse notices bruises and burns on the child's face and arms. What other symptom should indicate to the nurse that the child might have been physically abused?
A. The child shrinks at the approach of adults.
B. The child begs or steals food or money.
C. The child is frequently absent from school.
D. The child is delayed in physical and emotional development.
ANS: A
The nurse should determine that a child who shrinks at the approach of adults in addition to having bruises and burns might be a victim of abuse. Whether or not the adult intended to harm the child, maltreatment should be considered.
You might also like to view...
The nurse is developing a plan of care for a patient newly diagnosed with Bell's palsy. What would the nurse teach the patient are the clinical manifestations of the disorder?
A) Tinnitus B) Facial paralysis C) Pain at the base of the tongue D) Diplopia
In which client is breastfeeding contraindicated?
a. A client who has been diagnosed with HIV b. A client who has been started on antibiotic therapy for mastitis c. A client who has nonmalignant breast tumors d. A client who has a cytomegalovirus infection
On the first postoperative day, a client who had a cervical surgery requests the bedpan often, but cannot void. Based on these observations, the nurse should
a. assess for bladder distention. b. assess for manifestations of urinary tract infection. c. document this outcome as normal. d. increase fluid intake.
Visual disturbances are a result of a pituitary adenoma because of what?
a. Liberation of anterior pituitary hormones into the optic chiasm b. Pituitary hormones clouding the lens of the eyes c. Pressure of the tumor on the optic chiasm d. Pressure of the tumor on the optic and oculomotor cranial nerves