A kindergarten student is frequently violent toward other children. A school nurse notices bruises and burns on the child's face and arms. What other symptom should indicate to the nurse that the child may have been physically abused?
1. The child shrinks at the approach of adults.
2. The child begs or steals food or money.
3. The child is frequently absent from school.
4. The child is delayed in physical and emotional development.
1
Rationale: The nurse should determine that a child who shrinks at the approach of adults in addition to having bruises and burns may be a victim of abuse. Maltreatment is considered, whether or not the adult intended to harm the child.
You might also like to view...
A patient, 25 years of age, comes to the emergency department complaining of excessive bleeding from a cut sustained when cleaning a knife
Blood work shows a prolonged PT but a vitamin K deficiency is ruled out. When assessing the patient, areas of ecchymosis are noted on other areas of the body. Which of the following is the most plausible cause of the patient's signs and symptoms? A) Lymphoma B) Leukemia C) Hemophilia D) Hepatic dysfunction
The nurse should suspect that a patient recovering from a liver transplant is experiencing acute rejection if what is found during assessment? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Malaise and fatigue 2. Swollen and tender graft site 3. Colorless bile 4. Tea-colored urine 5. Constipation
The nurse has asked a child to rate her pain on a scale of 0 to 10 . The child ranks the pain at a 5 . The nurse will chart this in which of the following ways?
a. ranks pain at a 5 c. admits to a moderate level of pain b. states pain is at a 5 on a 10-point scale d. midpoint of scale in terms of pain
You are carefully assessing the sutures and fontanelles. True or False? The posterior fontanel
is joined by the temporal and parietal bones. What will be an ideal response?