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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Withdrawing socially from family and friends: While social withdrawal can be a sign of depression and potential suicidal thoughts, it doesn't necessarily indicate immediate risk.
B. Complaining about feeling great guilt or shame: Reflects emotional distress but not an immediate risk indicator.
C. Engaging in risky behavior, such as fast driving: Risky behavior can be a sign of self-destructive tendencies, but it doesn't always indicate a suicide attempt.
D. Feeling physical and emotional pain that is unbearable: Feeling unbearable physical and emotional pain is a powerful indicator of desperation and can lead someone to consider suicide as an escape. This intense level of distress suggests a higher risk of immediate action.
Correct Answer is B
Explanation
A. Hypotension: Hyperthyroidism typically causes increased cardiac output and can lead to normal or elevated blood pressure, not hypotension.
B. Tachycardia. Elevated thyroid hormones increase metabolic rate and sympathetic nervous system activity, leading to tachycardia.
C. Slow respiratory rate: There is no direct effect of hyperthyroidism on respiratory rate.
D. Decreased body temperature: Hyperthyroidism is associated with increased metabolism, which can lead to heat intolerance and increased body temperature, not decreased.
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