A nurse working on the pediatric unit should be aware that ...

[RRMR]

A nurse working on the pediatric unit should be aware that children admitted with which assessment findings are suggestive of physical child abuse? Select all that apply.
 
  a. Bruises in various stages of healing
  b. Bruises over the shins or bony prominences
  c. Burns on the palms of the hands
  d. A fracture of the right wrist from a sports accident
  e. Rib fractures in an infant

Question 2

Which action is appropriate when the nurse is assessing breath sounds of an 18-month-old crying child?
 
  a. Ask the parent to quiet the child so the nurse can listen.
  b. Auscultate breath sounds and chart that the child was crying.
  c. Encourage the child to play with the stethoscope to distract and to calm down the child before auscultating.
  d. Document that data are not available because of noncompliance.

[cam1229]

Answer to Question 1

A, C, E
Bruises in various stages of healing and burns on the palms of the hand may be indicative of physical abuse. Rib fractures in an infant are another indicator of physical abuse. Bruises over the shins or bony prominences are seen in children beginning to walk. A fracture of the right wrist can occur as the child begins to participate in sports activities.

Answer to Question 2

C
Distracting the child with an interesting activity can assist the child to calm down so an accurate assessment can be made. Asking a parent to quiet the child may or may not work. Auscultating while the child is crying typically results in less than optimal data. Documenting that the child is not compliant is not appropriate. An assessment needs to be completed.

[RRMR]

Thank you

[cam1229]

Happy to help you