Which genitourinary symptoms for a pediatric patient would cause the nurse to suspect sexual abuse? Select all that apply

1) Reporting burning upon urination
2) Experiencing itching of the pubic area
3) Running away from home
4) Masturbating
5) Experiencing vaginal discharge


ANS: 1, 2, 5

Nursing

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A visiting nurse is making a home visit on a male 2-month-old child who was born prematurely. The nurse notes that the child has not been circumcised. What action by the nurse is most important?

A. Assess the number of the baby's wet diapers per day. B. Give parents a referral to have the child circumcised. C. Instruct parents not to retract the foreskin until after age 1. D. Teach parents to retract the foreskin for cleaning.

Nursing

The nurse observes that a male patient is snoring every night. Which should the nurse assess in this patient to diagnose the potential for sleep apnea? (Select all that apply.)

a. Change in appetite b. Rituals for sleeping c. Number of daytime naps d. Headaches in the morning e. Irritability during the day f. Awakening during the night

Nursing

A nurse is caring for an older adult client who is experiencing grief after the recent loss of a spouse. What is true regarding an older adult's response to grief?

A) Grief in an older adult initially presents differently than in a younger adult. B) Older adults may seem to experience the emotional aspects of grief more acutely than younger adults. C) Manifestations of grief in older adults are usually less severe than those observed in younger clients. D) Manifestations of grief in older adults are usually trust issues, suspecting once close friends and family members of judging their pain or not understanding their emotions.

Nursing

A patient is admitted with the diagnosis of pediculosis capitis (head lice). Proper treatment for this condition would include which of the following? (Select all that apply.)

a. Use of medicated shampoo or permethrin (Nix) b. Use of products containing lindane c. Combing the hair with a nit comb for 2 to 3 days after treatment d. Washing linens in cold water for 30 minutes

Nursing