You are conducting a preschool examination on a 5-year-old child. Which injury would most likely raise your suspicion that the child was being abused?
a. Recent bruising over both knees
b. A healed laceration under the chin
c. A bruise on the right shin with associated abrasion of tissue
d. Bruises in various stages of resolution over body soft tissues
D
Toddlers and older children who bruise themselves accidentally do so over bony prominences, like the knees, chin, and shin. Bruises over soft tissues are more consistent with abuse.
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A positive result of a restraint-free environment is
a. Development of more creative care strategies b. Increased nursing assistant staffing c. Use of more medications d. Fewer incidents of resident falls
A nurse plans care for a client with lower back pain from a work-related injury. Which intervention should the nurse include in this client's plan of care?
a. Encourage the client to stretch the back by reaching toward the toes. b. Massage the affected area with ice twice a day. c. Apply a heating pad for 20 minutes at least four times daily. d. Advise the client to avoid warm baths or showers.
Which nursing action is not a part of an adult fall prevention protocol?
a. Instruct the patient at risk for falls to call for help when performing activities of daily living. b. Keep side rails down. c. Keep bed in lowest position. d. Provide adequate lighting.
If you know the infusion rate and time, you can calculate the volume to infuse using the formula V = T x
F. Indicate whether the statement is true or false