Author Question: A child is admitted to the hospital with physical injuries. Which assessment findings would indicate ... (Read 52 times)

natalie2426 · **on:** Jun 25, 2018

A child is admitted to the hospital with physical injuries. Which assessment findings would indicate that the child is a victim of abuse?

Select all that apply.
A) Confusion
B) Missing teeth
C) Inappropriate response to pain
D) Abrasions to the mouth, lips, and genitalia
E) Dehydration

Question 2

The nurse is conducting a physical assessment of a middle-age client upon admission to the cardiovascular care unit for cardiopulmonary problems. Which position is likely to be contraindicated for this client?

A) Sitting with back unsupported
B) Supine (horizontal recumbent)
C) Dorsal recumbent (back-lying)
D) Sims (side-lying)

durant1234 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B, C, D

Clinical manifestations of child abuse include abrasions to the mouth, lips, and genitalia; missing teeth; and inappropriate responses to pain. Dehydration and confusion are manifestations of elder abuse.

Answer to Question 2

Answer: C

Placing clients with cardiopulmonary problems in the dorsal recumbent position (back-lying with knees flexed and hips externally rotated) is more likely to be contraindicated because of the increased physiologic stress that this position places on the body. The other positions noted-sitting (whether with back supported or unsupported), supine (horizontal recumbent), and side-lying (Sims)-are typically better tolerated by clients with cardiopulmonary illness than the dorsal recumbent position.