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 B
Explanation
Rationale:
A) Oxycodone is an opioid analgesic typically used for moderate to severe pain but may not be the first choice for neuropathic pain.
B) Gabapentin is an anticonvulsant medication commonly used for neuropathic pain management due to its ability to modulate nerve activity.
C) Acetaminophen is a mild analgesic that may provide some relief for mild to moderate pain but is not typically used as the primary treatment for neuropathic pain.
D) Duloxetine is a serotonin-norepinephrine reuptake inhibitor (SNRI) antidepressant that can also be used for neuropathic pain management, but it may not be the first-line choice in adolescents.
Correct Answer is D
Explanation
Rationale:
A. Skin turgor assessment is important in assessing dehydration, but the priority is addressing the tachycardia first.
B. Potassium level is important in managing electrolyte imbalance in gastroenteritis, but the priority is addressing the elevated heart rate first.
C. Capillary refill is an important assessment for circulation, but the priority is addressing the elevated heart rate first.
D. The elevated heart rate (tachycardia) indicates increased workload on the heart, likely due to dehydration or other complications of gastroenteritis. This requires immediate attention to stabilize the infant's condition.
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