When the nurse sees a child who has burns on the backs of the ...

[codyclark]

When the nurse sees a child who has burns on the backs of the legs and the top of the buttocks, and an area that is not burned in the center of the buttocks, the nurse will:
 
  a. tend to believe the parents who say the child got into the tub accidentally before it cooled off
  b. suspect that the child's buttocks were held forcibly against the bottom of the tub
  c. suspect that the parents poured hot liquids on some areas of the legs and buttocks
  d. think that the child backed up against a heater or was held there by the parents

Question 2

A 4-year-old is going to have a dressing change that may be painful and frightening, therefore the nurse will perform this procedure in:
 
  a. The patient room, because the surroundings are familiar
  b. The treatment room, so the child will not associate negative feelings with the patient room
  c. The playroom, so the child will be distracted by other children
  d. A screened-off area in the hall to reduce visual stimulation

[ghepp]

Answer to Question 1

B

Feedback
A Incorrect: An accidental burn as a result of a child getting into a bathtub before the water cooled off will occur on the child's feet. So the nurse should be suspicious because the explanation of burn doesn't seem consistent with the injury.
B Correct: The description of this burn indicates an immersion burn often used as a form of punishment for problem behaviors in toilet training. It is caused by purposefully placing the child's buttocks in hot water and holding her or him against the bottom of the tub.
C Incorrect: When a parent pours hot liquids on a child, it usually involves the back, lateral side of the face, or shoulder, not the legs and buttocks.
D Incorrect: The description of this burn is inconsistent with this explanation of how it occurred.

Answer to Question 2

B
Painful and frightening procedures are accomplished in the treatment room. The child needs to feel safe and secure in the patient room. Performing the procedure in front of other children is inappropriate.