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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Correct Answer is C

Explanation

A. "Exposure to sunlight will help to strengthen your eyes.": Sunlight exposure is not recommended as it can exacerbate symptoms.

B. "These are unusual symptoms. I will ask the provider for an ophthalmology referral.": These symptoms are characteristic of Graves' ophthalmopathy and do not require an immediate referral unless severe.

C. "Eye drops and dim lighting can improve your symptoms." These interventions can help alleviate discomfort associated with dryness and light sensitivity in hyperthyroidism-related eye changes (Graves' ophthalmopathy). Dim lighting reduces glare, which can be uncomfortable for clients with sensitivity to light. Eye drops can provide lubrication for dry eyes.

D. "Surgery will be necessary to correct the damage to your eyes.": Surgery is considered for severe cases or when other treatments fail, not typically as an initial intervention.

A. Lack of remorse for behavior B. Mild outbursts with provocation C. Blaming others for their behavior D. Difficulty coping with stressors

Correct Answer is A

Explanation

A. Lack of remorse for behavior. Individuals with IED often have difficulty controlling impulses and may not feel remorseful for their actions. Lack of remorse is a characteristic feature of IED, where aggressive or explosive behaviors are often impulsively driven.

B. Mild outbursts with provocation: IED outbursts are typically disproportionate to the provocation.

C. Blaming others for their behavior: Although not a universal trait, some individuals with IED may shift blame onto others after their aggressive episodes.This behavior can strain relationships and hinder personal growth.

D. Difficulty coping with stressors: IED often involves poor coping mechanisms. Individuals struggle to manage stress, leading to explosive reactions.Their inability to handle stress contributes to the disorder’s severity.

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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)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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