A school nurse is taking care of an adolescent who presents with multiple burns in various stages of healing. which of the following behaviors should the nurse identify as a suggestive of possible physical abuse?
Provides a detailed description of how the burns occurred
Denies discomfort during assessment of injuries
Describes strong relationships with peers
Expresses a reluctance to leave home
The Correct Answer is B
A. Providing a detailed description of how burns occurred may suggest a plausible explanation, but it does not necessarily indicate abuse.
B. Denying discomfort despite the presence of burns may suggest emotional detachment or an attempt to conceal the severity of the injuries, which can be indicative of abuse.
C. Describing strong relationships with peers is a typical and healthy sign of social development and does not indicate abuse.
D. Reluctance to leave home may suggest anxiety or attachment to family, but it is not necessarily indicative of abuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. DIC can affect children of all ages, not just school-age children.
B. Risk factors of DIC include cancer and chemotherapy, which can trigger DIC due to the activation of clotting factors.
C. Lyme disease is not typically associated with DIC.
D. The most common cause of DIC in children is sepsis, which leads to widespread clotting and hemorrhage.
E. Treating the underlying cause of DIC, such as sepsis or cancer, is essential to resolving DIC and stopping the clotting cascade.
Correct Answer is A
Explanation
A. A normal urinary output in infants is approximately 1-2 mL/kg/hr. An output of 2 mL/kg/hr would indicate that the fluid imbalance is being corrected.
B. An output of 7.5 mL/kg/hr is excessive and may indicate overhydration or other complications.
C. An output of 0.5 mL/kg/hr is too low and suggests that the fluid imbalance is not yet corrected.
D. An output of 15 mL/kg/hr is too high and could indicate a possible issue such as overhydration.
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