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 D

Explanation

A. The child was not promoted to the next grade: Academic performance alone does not directly correlate with conduct disorder.

B. The child moved to three new homes over a two-year period: Transience can contribute to instability but is not a direct risk factor for conduct disorder.

C. The child's best friend was absent from the child's birthday party: Social relationships are important, but absence from a birthday party is not a significant risk factor for conduct disorder.

D. The child has been raised by a parent who has recurring major depressive disorder. Exposure to parental mental illness, such as major depressive disorder, can create stressful family environments that contribute to the development of conduct disorder.

A. Xerostomia B. Bradycardia C. Epistaxis D. Hypertension

Correct Answer is C

Explanation

A. Xerostomia: Dry mouth, not typically associated with DIC.

B. Bradycardia: Not typically seen in DIC; usually, there is tachycardia due to the underlying condition.

C. Epistaxis. Epistaxis is a common physical finding in DIC due to bleeding tendencies. DIC leads to consumption of clotting factors and platelets, resulting in bleeding manifestations like epistaxis.

D. Hypertension: Hypotension is more common due to widespread clotting and bleeding.

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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 assessing a child. The nurse should identify which of the following findings puts the child at risk for the development of conduct disorder?

Correct Answer is D

Explanation

The nurse is assessing a client and suspects the client is experiencing DIC. Which of the following physical findings should the nurse anticipate?

Correct Answer is C

Explanation

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