What assessment finding indicates that a client is a victim of shaken baby syndrome?
1. Fractures of the long bones
2. Retinal hemorrhages
3. Abrasions
4. Burns
Correct Answer: 2
Subdural and retinal hemorrhages accompanied by the absence of external signs of trauma are hallmarks of shaken baby syndrome.
You might also like to view...
A nurse is attempting to change the method for documenting client care in a hospital setting. Which of the following should be considered before planning change? Select all that apply
A) What is amenable to change? B) How does the group function as a unit? C) Is the group ready for change? D) Are the changes major or minor? E) How can I keep from changing again?
An elderly client is scheduled for a surgical procedure. The nurse realizes that the outcome of the client's operation will depend upon the client's:
1. age. 2. severity of illnesses. 3. nutritional status. 4. activity status.
For several hours after delivery, a patient who experienced a
much more difficult labor this time than any time previously wants to talk about why the birthing process was so hard for her this time. She is focusing on this aspect to the point that she seems relatively indifferent to her newborn. How should the nurse handle this situation? A) Redirect her attention to the baby by reminding her of the details of newborn care B) Ask her to describe how she plans to integrate the newcomer into her existing family, including any actions she has taken to prepare the siblings C) Encourage her to discuss her experience of the birth and answer any questions or concerns she may have D) Point out positive features of her baby and encourage her to hold and cuddle the baby
The nurse teaches the client about glucocorticoid therapy. The nurse evaluates that additional teaching is required when the client makes which statement?
1. "I can take the medication at any time as long as I don't forget it." 2. "I will monitor my blood sugar on a regular basis." 3. "I will eat a diet that is high in protein." 4. "I should take my medication after I have eaten."