Abuse
Test Id: 89898442
QId: 35171 (1051007)
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After listening to the parents' reports and seeing the following pediatric clients, the nurse knows that which client demonstrates
signs of abuse that may necessitate mandatory reporting?
1-year-old with dyspnea, drooling, and a swollen tongue after eating part of a houseplant [2%]
1.
2-year-old who is crying and has a large forehead hematoma after falling out of a chair [5%]
2.
3-year-old with second-degree burns on the face after pulling a cup of hot tea off the table [3%]
3.
, 5-year-old whose x-ray reveals 1 new and 2 healed humerus fractures after falling from a tree [87%]
4.
Correct
Answered correctly
87%
Time: 77 seconds
Updated: 09/18/2017
Explanation:
,
, The nurse should be aware of signs of physical, sexual, and emotional abuse and comply with state or provincial mandatory
reporting. Signs of abuse may include:
Shaken baby syndrome (ie, irritability or lethargy, poor feeding, emesis, seizures)
Burns in the shape of household items (eg, iron, spatula), from cigarettes, or from immersion in scalding liquid
Repeated injuries in varied stages of healing (eg, bruises, burns, fractures) (Option 4)
Injuries to genitalia
Lapsed time between the injury and the time when care is sought
Inconsistency between the injury and the caregiver's explanation of the injury (eg, client's developmental age, mechanism
of injury)
(Options 1, 2, and 3) Toddlers and young children are prone to many accidental injuries (eg, aspiration or poisoning from foreign
objects in the mouth, climbs onto and falls from furniture, pulling of objects from the table). The injuries and caregivers'
explanations are reasonable for these clients. Prior to discharge, the nurse should instruct caregivers on child safety measures
within the home to prevent future injury.
Educational objective:
The nurse should be aware of signs of physical, sexual, and emotional abuse, including repeated injuries in varied stages of
healing, shaken baby syndrome, and injuries to genitalia. Suspicion of abuse necessitates mandatory reporting according to state
or provincial laws.
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