A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?

A child whose parents answer questions for the child.

A child who has frequent visitors

A child who uses the call light frequently

A child who has a BMI indicating obesity

Answer and Explanation

The Correct Answer is A

A. A child whose parents answer questions for the child. This behavior may indicate that the child's parents are controlling or dominating, possibly preventing the child from expressing their own thoughts or feelings. It could be a sign of emotional or psychological abuse, where the child's autonomy and voice are suppressed.

B. A child who has frequent visitors: While frequent visitors may raise concerns about the child's social environment, it does not necessarily indicate abuse. Further assessment would be needed to determine the nature of these visits and their impact on the child's well-being.

C. A child who uses the call light frequently: Frequent use of the call light may indicate physical discomfort, illness, or anxiety, but it does not inherently suggest abuse. It could be related to the child's medical condition or emotional state.

D. A child who has a BMI indicating obesity: Obesity alone is not indicative of abuse. While it may raise concerns about the child's health and well-being, it does not directly point to abuse unless there are additional signs or symptoms suggestive of neglect or mistreatment.

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Correct Answer is C,A,D,B

Explanation

Correct Answer:C, A, D, B.

C. Inspection:The initial step in an abdominal assessment is to inspect the abdomen visually. This allows the nurse to observe for any abnormalities in skin color, shape, and

movement without causing discomfort or altering findings that could be affected by palpation or auscultation.

A. Auscultation:Following inspection, auscultation is performed before any palpation. This is because palpation can stimulate bowel sounds, which may alter the nurse's ability to accurately assess the bowel activity and vascular sounds.

D. Superficial palpation:After auscultation, superficial palpation is done to detect tenderness, distension, or superficial masses. It is gentle and less likely to cause discomfort or alter deeper structures.

B. Deep palpation: The final step is deep palpation, which is used to examine the organs and structures that are deeper within the abdominal cavity. It is performed last to prevent any potential discomfort or alteration in the patient's condition that could interfere with the earlier steps of the assessment.

A. Use mummy restraints during painful procedures. B. Perform the procedure as quickly as possible. C. Have a parent stay with the child during procedures. D. Cluster invasive procedures whenever possible. E. Allow the child to keep a toy from home with her.

Correct Answer is ["C","D","E"]

Explanation

A. Use mummy restraints during painful procedures: Using restraints may increase the child's anxiety and resistance, exacerbating the fear of procedures. It is important to minimize any factors that may increase the child's distress during procedures.

B. Perform the procedure as quickly as possiblE. While it is important to minimize the duration of procedures to reduce discomfort, rushing the procedure excessively may increase the child's

anxiety and make the experience more traumatic. A balance should be struck between efficiency and ensuring the child feels comfortable and secure.

C. Have a parent stay with the child during procedures: Having a familiar caregiver present can provide comfort and reassurance to the child during procedures. The presence of a parent can help the child feel safe and supported, reducing anxiety and fear.

D. Cluster invasive procedures whenever possiblE. Clustering invasive procedures minimizes the frequency of painful experiences for the child, reducing overall distress and anxiety. This approach also allows the child to have longer periods of comfort between procedures.

E. Allow the child to keep a toy from home with her: Providing a familiar toy or comfort item can serve as a distraction and source of comfort for the child during procedures. Allowing the child to hold onto something familiar can help reduce anxiety and provide a sense of security.

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A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Correct Answer is C,A,D,B

Explanation

A nurse is caring for a 3-year-old child whose parents report that she has an intense fear of painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?

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