A nurse in a clinic is caring for a group of infants. Which of the following findings should the nurse report as a possible indication of physical maltreatment?
A hemangioma on the infant's torso
A burn with splash marks on the lower right leg
A large, irregular, brownish-blue area on the infant's buttock
An abrasion on the back of the infant's arm
The Correct Answer is B
Rationale:
A) A hemangioma is a benign vascular tumor commonly found in infants and is not indicative of physical maltreatment.
B) A burn with splash marks, especially in a patterned distribution, raises suspicion of physical abuse and should be reported immediately for further evaluation.
C) A large, irregular, brownish-blue area on the infant's buttock may indicate bruising, but further assessment is needed to determine the cause.
D) An abrasion on the back of the infant's arm may be due to accidental injury and does not necessarily indicate physical maltreatment, although it warrants further assessment and documentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A) Providing a low-sodium diet helps manage fluid retention and edema associated with nephrotic syndrome and corticosteroid therapy.
B) Encouraging increased fluid intake may exacerbate edema and fluid retention.
C) Obtaining urine ketone levels is not specifically indicated for managing nephrotic syndrome or corticosteroid therapy.
D) Administering pancreatic enzymes with each meal is not indicated for nephrotic syndrome or corticosteroid therapy.
Correct Answer is B
Explanation
Rationale:
A) Feeling relaxed is not typically an adverse effect of albuterol, but rather a desired bronchodilator effect.
B) Palpitations or a fluttering sensation in the heart can be an adverse effect of albuterol due to its stimulant properties on the cardiovascular system.
C) Forgetfulness is not a common adverse effect of albuterol.
D) Constipation is not a common adverse effect of albuterol.
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