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) Adolescents have the right to consent to their own medical care for STI screening and treatment in many jurisdictions.
B) Instructing the adolescent that a guardian must be present for consent may discourage them from seeking necessary care due to privacy concerns.
C) Confidentiality is essential in healthcare, and unless there are specific legal or ethical reasons to involve the guardian, the adolescent's privacy should be respected.
D) Obtaining phone consent from the guardian may not be necessary if the adolescent is capable of consenting to their own care.
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A) Loosening restrictive clothing prevents injury during the seizure.
B) Hyperextending the child's neck can cause injury and should be avoided. Instead, the neck should be supported to maintain an open airway.
C) Timing the seizure episode is important for documenting the duration and for providing accurate information to healthcare providers.
D) Placing the child in a side-lying position helps prevent aspiration and maintains an open airway during the seizure.
E) Restraint should not be applied during a seizure unless absolutely necessary to prevent injury to the child or others.
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