A nurse in a pediatric unit is assisting with providing care for multiple children. Which of the following physical findings and parental reports should cause the nurse to suspect child maltreatment?
A toddler has a spiral fracture, and the parent reports a fall from a swing.
A preschooler has bruises on the shins, and the parent reports a collision with furniture.
An adolescent has a head injury, and the parent reports a fall from a bike.
A school-age child has a black eye, and the parent reports a fight with a classmate.
The Correct Answer is A
Rationale:
A. Spiral fractures are often associated with child abuse, especially when they occur in non-ambulatory infants or toddlers who can't generate enough force to cause such injuries themselves.
B. Bruises from a collision with furniture can be common in preschoolers, and there's no immediate indication of child maltreatment.
C. Head injuries from falls, especially during adolescence, are common and may not necessarily indicate child maltreatment.
D. While a black eye could be concerning, it's not necessarily indicative of child maltreatment and could be the result of a fight with a classmate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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.
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