Of all the physical findings noticed on a child, which is most likely to indicate abuse?
A scald burn on his chest with various zones of burn depth
A maculopapular rash on the buttocks
A tall, thin appearance in a child
Linear abrasions on his ankles and wrists
The Correct Answer is D
A. While scald burns can be suspicious, especially if they have clear lines or are immersion-type burns, variations in depth alone may also occur accidentally and need further investigation before confirming abuse.
B. A maculopapular rash is commonly associated with viral infections or allergic reactions, not abuse.
C. A tall, thin appearance may suggest a constitutional body type or a medical condition, but it is not a specific indicator of abuse.
D. Linear abrasions on the ankles and wrists may suggest restraints or bindings, which are highly suspicious for physical abuse, especially if not explained by a medical procedure or accident. These marks are considered red flags and should prompt further investigation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Sores may occur from mouth trauma or viral infections but are not a common side effect of inhaled corticosteroids.
B. Hairy tongue is a rare condition usually linked to poor oral hygiene or antibiotic use, not inhaled corticosteroids.
C. Thrush (oral candidiasis) is a common side effect of inhaled corticosteroids. The medication can suppress local immunity in the mouth and throat, allowing Candida (yeast) to overgrow. This is why patients are advised to rinse their mouth after using inhaled corticosteroids.
D. Bad breath may result from dry mouth or infections but is not a primary or common side effect of this medication.
Correct Answer is B
Explanation
A. Children with autism spectrum disorder often have difficulties with social interaction and imaginative play. They benefit from structured and supervised activities to support social skills and reduce anxiety.
B. A reward system for positive behavior (positive reinforcement) is a key behavioral strategy in managing children with autism. It helps encourage desired behaviors and provides consistent feedback in a way the child can understand.
C. Rules should be clear, consistent, and structured. Allowing rules to vary with the child’s behavior can lead to confusion and make behavior management more difficult.
D. Children with autism generally thrive on routine and predictability. A flexible schedule that changes based on interests may increase anxiety and behavioral issues. A structured and predictable routine is more beneficial.
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