Charles, the nurse, is working in an emergency department and is assessing a preschool-age child who reports abdominal pain. Which of the following findings should alert the nurse to possible abuse (select all that apply)

Areas of ecchymosis on the torso.

Mismatched clothing

Abrasions on knees

abdominal rebound tenderness

Round burn marks on forearms

Answer and Explanation

Correct Answer : A

A. Areas of ecchymosis on the torso. Ecchymosis on the torso, especially in non-ambulatory children, can be concerning for abuse. Unexplained bruises in unusual locations or patterns are red flags for physical abuse.

B. Mismatched clothing: Typically not an indicator of abuse but could suggest neglect.

C. Abrasions on knees: Common in active children and not specific to abuse.

D. Abdominal rebound tenderness: Could indicate abdominal pathology but not necessarily abuse.

E. Round burn marks on forearms: Could suggest burns but not specific to abuse without further context.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. "Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use." Behavioral interventions are the mainstay of treatment for ODD. Medications are not typically recommended unless there are comorbid conditions like ADHD or aggression that do not respond to behavioral interventions alone.

B. There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you: This statement is misleading as medications are not first-line for ODD.

C. "Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature.": This is an oversimplification; while primarily behavioral, medications might be considered in certain cases.

D. "It's a common misconception that there is a medication available to treat every health problem.": This statement dismisses the possibility of appropriate medication when needed.

A. A 45-year-old female who has a family history of autoimmune disorders B. A 73-year-old male who has an iodine deficiency C. A 25-year-old female who has metabolic syndrome D. A 35-year-old male who has Graves' disease

Correct Answer is D

Explanation

A. A 45-year-old female who has a family history of autoimmune disorders. Autoimmune disorders can increase the risk of some thyroid conditions, but not necessarily hyperthyroidism.

B. A 73-year-old male who has an iodine deficiency: Iodine deficiency can lead to goiter and hypothyroidism but is not a common cause of hyperthyroidism.

C. A 25-year-old female who has metabolic syndrome: Metabolic syndrome is not directly linked to thyroid dysfunction.

D. A 35-year-old male who has Graves' disease: Graves’ disease is an autoimmune disorder that leads to overproduction of thyroid hormones, resulting in hyperthyroidism..

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Charles, the nurse, is working in an emergency department and is assessing a preschool-age child who reports abdominal pain. Which of the following findings should alert the nurse to possible abuse (select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the parent of an adolescent who was recently diagnosed with oppositional defiant disorder (ODD). The parent asks, "Is there a medication that can help my child?" Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is reviewing the medical records of clients on a hospital floor. Which client would the nurse expect is most at risk for hyperthyroidism?

Correct Answer is D

Explanation

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A nurse has attended an in-service regarding the care of adolescent clients who have behavioral disruptive disorders. Which statement by the nurse indicates an understanding of these disorders?

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