A child is admitted to the emergency department (ED) for scald burns to the buttocks and thighs. According to the mother, she was preparing the child's bath and before she could test the water, the child fell in and was scalded

Which would cause the nurse to suspect abuse? 1. The burns are uneven, with some burns deeper than others.
2. The child's hands and feet are free of burns.
3. In addition to the main burn site, there are splash burns surrounding the area.
4. The mother was home alone with the child.


2
Explanation:
1. This might occur in an accidental scald burn.
2. Someone who falls in hot water would immediately try to get out by using the hands and feet.
3. This would be a logical finding.
4. It is not unusual for a mother to be home alone with a child.

Nursing

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A nurse is admitting an older client for surgery to the inpatient surgical unit. The client relates a prior history of acute confusion after a previous operation. What interventions does the nurse include on the client's plan of care to minimize the poten

a. Allow family and friends to visit as the client desires. b. Ask the client about coping techniques frequently used. c. Instruct the nursing assistant to ensure the client is bathed. d. Place the client in a room secluded at the end of the hall. e. Provide the client with uninterrupted periods of sleep.

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A client is crying, wringing her hands, and telling the nurse that she just does not know how much more she can take. The nurse realizes this client is experiencing ineffective coping with stressors or:

a. anxiety. c. maladaptation. b. eustress. d. catharsis.

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Which question will yield the best response regarding a child's or adolescent's use of nicotine, alcohol, and/or recreational drugs?

A) "If you use alcohol, nicotine, or street drugs, how much are you using?" B) "You don't use alcohol, nicotine, or street drugs, do you?" C) "I won't tell your mother, but are you using alcohol, nicotine, or street drugs?" D) "I don't use them, but do you use alcohol, nicotine, or street drugs?"

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Which patient outcome statement includes all seven guidelines for writing goal and outcome statements?

a. The patient will ambulate in hallways. b. The nurse will administer pain medication every 4 hours to keep the patient free from discomfort. c. The nurse will monitor the patient's heart rhythm continuously this shift. d. The patient will feed self at all mealtimes today without complaints of shortness of breath.

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