A 4-year-old is brought to the emergency department with a burn. Which of the following would alert the nurse to the possibility of child abuse?
A) Burn assessment correlates with mother's report of contact with a portable heater.
B) Parents state that the injury occurred approximately 15 to 20 minutes ago.
C) Clear delineations are noted between burned and nonburned skin areas.
D) The burn area appears asymmetric and nonuniform.
C
Feedback:
Suggested signs of a burn resulting from possible child abuse include a uniform appearance of the burn with clear delineations of burned and nonburned areas. Abuse would also be suspected if the report of the injury was inconsistent with burn injury or there was a delay in seeking treatment. An asymmetric nonuniform burn often correlates with a splatter-type burn resulting from the child pulling a source of hot fluid onto himself or herself.
You might also like to view...
The nurse on the high-risk antepartal unit has received shift change report. Which client should the nurse see first?
1. Primip at 26 weeks with prolonged premature rupture of membranes experiencing chills 2. Multip at 28 weeks with premature rupture of membranes reporting leakage of clear vaginal fluid 3. Primip at 30 weeks with premature rupture of membranes due for a betamethasone injection 4. Multip at 32 weeks with prolonged premature rupture of membranes and a hemoglobin of 11.0
A nurse at a long-term care facility is conducting an intake assessment and health history with a new female resident and the resident's daughter
The daughter states that her mother had a Billroth II gastrectomy performed several years ago, a fact that must be accommodated into her care. The nurse would be justified in questioning the resident about her history of: A) Peptic ulcer disease B) Stomach cancer C) Gastroesophageal reflux disease (GERD) D) Pyloric stenosis
An older adult has expressive aphasia. What would be the most effective intervention for the nurse to use to improve the patient's communication?
a. Provide flash cards with text and pictures. b. Be patient and ask him to repeat himself. c. Encourage him to practice slow speech. d. Arrange with him to blink the eyes once for "yes" and twice for "no."
An older female client with delirium becomes agitated and confused at night. The nurse's most important strategy for this is to do which of the following?
1. Turn off the television and radio, and use a nightlight. 2. Keep soft lighting and the television on during the night. 3. Change the client's room to one nearer the nurses' station. 4. Play soft instrumental music all night, and do not turn down the lights.