Which observation may cause the nurse to consider the possibility of child abuse when a mother says that her young child fell down the basement stairs?
a. Red, green, and yellow bruises on his body
b. Bruises are dispersed on his head, arms, and legs
c. A broken arm last year, and the child being described as accident-prone
d. The mother is very anxious for her son to get medical attention
ANS: A
As bruises heal, they change color in stages. Different colors of bruises indicate that injuries have not all occurred at the same time. The nurse must consider whether the bruises match the caretaker's explanation of what happened.
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The home care nurse is visiting a patient newly discharged home after a lobectomy. What would be most important for the home care nurse to assess?
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