Author Question: A 4-year-old is brought to the emergency department with a burn. Which of the following would alert ... (Read 110 times)

lunatika · **on:** Jun 27, 2018

A 4-year-old is brought to the emergency department with a burn. Which of the following would alert the nurse to the possibility of child abuse?

A) Burn assessment correlates with mother's report of contact with a portable heater.
B) Parents state that the injury occurred approximately 15 to 20 minutes ago.
C) Clear delineations are noted between burned and nonburned skin areas.
D) The burn area appears asymmetric and nonuniform.

Question 2

As part of a clinical conference with a group of nursing students, the instructor is describing the burn classification.

The instructor determines that the teaching has been successful when the group identifies which of the following as characteristic of full thickness burns? A) Skin that is reddened, dry, and slightly swollen
B) Skin appearing wet with significant pain
C) Skin with blistering and swelling
D) Skin that is leathery and dry with some numbness

brittanywood · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Feedback:
Suggested signs of a burn resulting from possible child abuse include a uniform appearance of the burn with clear delineations of burned and nonburned areas. Abuse would also be suspected if the report of the injury was inconsistent with burn injury or there was a delay in seeking treatment. An asymmetric nonuniform burn often correlates with a splatter-type burn resulting from the child pulling a source of hot fluid onto himself or herself.

Answer to Question 2

D
Feedback:
Full thickness burns may be very painful, numb, or pain-free in some areas. They appear red, edematous, leathery, dry, or waxy and may display peeling or charred skin. Superficial burns are painful, red, dry, and possibly edematous. Partial thickness and deep partial thickness burns are very painful and edematous and have a wet appearance or blisters.