A nurse is assessing a child and notes several bruises

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• The nurse's assessment findings show patterns of bruising that are not typically sustained during a fall from a tree. Injuries to the skin are generally recognized in three forms: bruises, bites, and burns. However, bruises can also signal an underlying medical illness or an inflicted injury (maltreatment). These findings suggest that this child has the _____ type of juvenile rheumatoid arthritis. A nurse is monitoring a child who has just had a tonsillectomy for signs of hemorrhage. Study with Quizlet and memorize flashcards containing terms like The parents of a 6-year-old child with idiopathic thrombocytopenic purpura (ITP) ask the nurse conducting an assessment of the child what causes the More Stories. Term. 3. Knowing which bruises warrant further investigation is vital to protect the child. the nurse would document that the child has reached the initiative stage A school nurse is caring for a child who fell on the playground. My child is rough with me and very controlling. Jul 4, 2023 · The World Health Organization (WHO) defines child maltreatment as “all forms of physical and emotional ill-treatment, sexual abuse, neglect, and exploitation that results in actual or potential harm to the child’s health, development or dignity. Contact the Department of Health and May 19, 2024 · A head-to-toe assessment is a comprehensive physical assessment data collection method to gather patient data and determine the patient’s health status. Explanation: The appropriate action for the nurse to take when noting many bruises on a child is Option A: Document the findings and inform the parents or caregivers Jun 20, 2024 · A nurse is caring for a toddler who has otitis media and a temperature of 39. cyanosis may signal hypoxemia. Study with Quizlet and memorize flashcards containing terms like the nurse is assessing a 3-year-old at a routine well-child visit. maintenance of confidentiality. Which of the following actions should the nurse take? o Obtain a detailed history A nurse is caring for a child who has Legg-Calve-Perthes disease and is in Buck extension traction. A school nurse is preparing to administer atomoxetone. "Even if new skin growth is required, the melanocytes do not regenerate. Study with Quizlet and memorize flashcards containing terms like A 16-year-old girl is seen in an emergency department following a rape. For instance: pallor may indicate anemia. See full list on cps. 6%) had bruises, and only 8 (1. The mother says that the child is clumsy and falls a lot. The nurse notes the 3 multiple choice options. Click the card to flip 👆. Initial physical examination revealed bruise patterns in various stages of healing all over Dana’s body and three linear abrasions over the trapezius muscle on the right side of the neck consistent with attempted strangulation. The nurse notes that the child's skin appears bronze-colored and jaundiced. A nurse caring for a child with newly diagnosed acute lymphoblastic leukemia. B) use the words the child has given to describe how the injury ANS: A. The nurse should recognize that this stage is characterized by which of the following? A. A patient asks the nurse if it is possible to grow new skin. Get a hint. Child continues gagging and retching. 4°F). Nursing Assessment: Skin Bruises noted in several areas: Left and right upper arms Left knee, across patella Middle of abdomen, toward the right lower quadrant Left shin Right elbow Left shin Right elbow Left knee, across patella Middle of abdomen, toward the right lower quadrant RATIONALE: Once children start to walk, it is common for them to sustain bruises in areas over bony prominences on Which assessment data should a school nurse recognize as signs of physical neglect? A. Which patient should the nurse see first?, The nurse is May 30, 2023 · The nurse should report the observation of bruises to the provider, document the findings accurately, and be prepared to give a concise report and answer any questions. 2. When the Study with Quizlet and memorize flashcards containing terms like A school nurse is assessing a child who has multiple bruises on his trunk extremities. enthesitis c. Although specific children may be at increased risk, child abuse can affect anyone, at any time. The nurse is caring for an 8-year-old child who has several bruises of varying colors (some red, some bluish-green, and some brownish-yellow) the size of a hand on the buttocks. Primary A child is seen in the school nurse's office with complaints of pain in his right forearm. allergies to food or medications. The client tells the nurse, "My child is my caretaker. 17. N. Obtain a full set of vital signs. The nurse should assign the child to which of the following triage categories? Nonurgent (green) 2. "The avascular epidermis sheds slowly and is replaced completely every 4 weeks. The parents report the child does not listen well and fell while riding a bicycle. Deliver compressions at 1/3 to 1/2 the depth of the chest. Skin color can reflect a patient’s overall health and is an important part of assessing skin breakdown and wound healing. “The neck is a great example. D. The nurse should identify which of the following as a possible sign of child abuse? A) The infant's weight and length follow the expected growth curve B) The infant is up to date on immunizations C) The infant has faded bruise marks on their upper Aug 30, 2022 · Y=the child has several bruises and a superficial 5cm laceration that has stopped bleeding on his left arm. What type of juvenile rheumatoid arthritis do these findings suggest? Study with Quizlet and memorize flashcards containing terms like When assessing a child's injury if the ED, a nurse suspects physical abuse. This child most likely has a deficiency of which blood factor? bruising patterns in nearly 1000 children younger than 36 months presenting for well child care and who were not felt to be cases of child abuse. The nurse identifies several bruises in various stages of healing. The nurse is collecting data from the caregivers of a child brought to the clinic setting. The child has sophisticated knowledge of sexual behaviors. Deliver compressions with the heel of one hand only. c. Separate the child from the parents. Which finding should the nurse identify as a potential indication of physical neglect? , The nurse caring for a group of children on the pediatric unit should collect further data and explore the possibility of child abuse in which situation Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like A newly licensed nurse in an urgent care center is caring for a child who has bruises that raise suspicion for child abuse. Based on this suspicion, the nurse's primary legal responsibility is: A: Assist the family in identifying resources for support B: Report the case in which the abuse is suspected to the local authorities C: Document the child's physical assessment Jun 11, 2024 · Upper Respiratory Infection Nursing Note (Example) Patient name and Age: Jazmin Adkins, 25. The Study with Quizlet and memorize flashcards containing terms like A nurse in a pediatric clinic is assessing an infant during a well-child visit. However, based on the distribution of the bruises, the nurse suspects abuse. Additionally, how visible the bruise is depends on several factors, such as: Where the bruise is located: “The connective tissue may not be able to support having bruises be really visible,” she says. Obtain a detailed history Study with Quizlet and memorize flashcards containing terms like 1. a. "The outer layer of skin remains the same over the Study with Quizlet and memorize flashcards containing terms like A client is receiving home oxygen. The important clue is bruises in different stages of healing. A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury and has a sodium level of 129 mEq/L. Ask the psychiatrist to talk with the parents d. When caring for the client, the nurse notes old and new ecchymotic areas on both of the client's arms and buttocks. The nurse notes bruising around the gum line. Further investigation is needed to rule out abuse. At first the bruise will appear a dark purple colored. psoriatic b. The caregiver has been unable to stop the bleeding and brings the child to the pediatric clinic. During the assessment, the nurse notes extensive bruising to the torso, but the assessment is otherwise normal. Report the suspected abuse to the authorities. -Apply moleskin to the edge of the cast. Which nursing actions are most appropriate? The nurse assessing a child with juvenile rheumatoid arthritis notes the child's right knee and ankle are swollen, warm, and tender. 46 of 46. Ask the child how the injury occurred. - Give reassurance to the child during the exam. Which should be the initial intervention with this child? 1. Contact the Department of A nurse is assessing a 6-year-old child who was brought to the emergency department by his mother. Study with Quizlet and memorize flashcards containing terms like A nurse suspects child abuse and reports it. To provide care, a nurse practitioner must be know the clinical manifestations, differential diagnoses, and epidemiology to accurately rule-out other disorders and develop an appropriate plan of care. 11) A nurse is assessing the psychosocial development of a toddler. Assess the level of consciousness. which of the following actions should the nurse take?, A nurse is bathing a toddler and notices that she has several bruises. Modify the environment 10) A nurse is assessing a child and notes several bruises. Which of the following findings should the nurse report to the provider? 70. which of the following actions should the nurse take? A. Note: the age of a bruise cannot be estimated accurately by its colour; if no bruises are currently present, ask the person to return when they reappear. Obtain a detailed history C. Study with Quizlet and memorize flashcards containing terms like a nurse is assessing a child and notes several bruises. Temperature of 101° F (38. What teaching points should the nurse provide the client and the caregiver regarding home oxygen safety?, How should the nurse respond when a client asks the purpose of an advance directive?, List at least three (3) priority considerations when performing a sterile dressing change. Pediatric health and physical assessment are fundamental aspects of nursing care that focus on assessing the well-being and development of children Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like A community health nurse is assessing an 18-month-old toddler in a community day care. " b. 100% (7) View full document. 8 C (102 F) and abdominal pain. Quiz yourself with questions and answers for Exam 3: Chapter 12: Abuse and Violence, so you can be ready for test day. What action should the nurse take first? Click the card to flip 👆. Which of the following response by the nurse is appropriate? a. " . 3° C) or greater. role in emergency nursing care. A nurse in the emergency department is caring for a 2-year-old child who was found by his parents crying and holding a container of toilet bowl cleaner. B. A nurse is obtaining a health history from the parents of a toddler who had recently been Apr 5, 2024 · There are several types of assessments that can be performed: 1. Hemophilia is a rare inherited bleeding disorder that affects the body’s ability to form clots. Failure to report these findings is an example of a. In reviewing the child's record the nurse notes that he has a history of being physically abused by the mother. [1-4] However, bruising is also the most common 10 of 69. The nurse notices multiple bruises on the child's arms and legs, some of which are in different stages of healing. Study with Quizlet and memorize flashcards containing terms like A school nurse observes multiple irregular bruises at different stages of healing on an elementary school-aged child. Obtain a detailed history c. Which of the following actions should the nurse take? A. The parents tell the nurse that the child's skin seems to be an unusual color. 7%) of 473 children younger than 9 months had bruises. Study with Quizlet and memorize flashcards containing terms like A child has fallen from a swing at the playground and the parent states that the child became groggy. Which of the following actions should the nurse take? Report the suspected abuse to the authorities Obtain a detailed history Ask a psychiatrist to talk with the parents Separate the child from the parents 14. Which is an example of the nursing role of collaboration?, A maternal-child health nurse is discussing maternal mortality with a group of nurses. Symptoms have persisted for 2 weeks. Provide pain management. The nurse notes that the child's deep tendon reflexes were normal, because they were graded as: down and back. Across-the-room assessment Use the Pediatric Assessment Triangle (PAT, Figure 1) for your across-the-room assessment. a nurse is bathing a toddler and notices that she has several bruises. Study with Quizlet and memorize flashcards containing terms like A toddler who is beginning to walk has fallen and hit his head on the corner of a low table. Which of the following actions should the nurse take? -Apply a sterile, moist dressing on the sac. C. Notify the child's caregivers of the findings. A nurse is assessing a preschooler who has a calcium level of 8. Assessment: Patient presented with symptoms of a cold, including runny nose, sore throat, cough, and congestion. one of the parents of the child peds test 1. Dorsum of the hands, extensor surface of the forearms, and the shins — suggests senile purpura. Bruising can be caused by an underlying medical condition, accidental injury, or physical abuse. The child reports having fallen down. , The nurse is talking to a client who is a survivor of intimate partner violence. A nurse is providing care to children on a general pedi unit. An older woman is brought to the emergency department. Use all options. It involves examining the entire body from head to toe in a systematic and thorough manner to identify health issues the patient may be experiencing. As part of a routine health assessment the nurse needs to address areas relating to sexuality and substance use. Call for backup assistance if necessary. ”. At 1 min of age, the newborn is crying vigorously with limbs flexed and a Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a child with prolonged bleeding after losing a tooth. May 31, 2023 · Children can go back to school Only treat family members who have the lice A nurse is assessing a child and notes several bruises. 15. What type of MH4. A toddler who is beginning to walk has fallen and hit his head on the corner of a low table. Remind parents that toddlers are clumsy and may fall, causing bruising. 12. A) Red B) Purple-blue C) Greenish-brown D) Brownish-yellow, The nurse suspects abuse when a 10-year-old child is taken to the urgent care center for a leg injury. Beware, students with some of the conditions and disorders listed in Table 2 can be the victim of physical child abuse, so you should have a high index of Apr 30, 2024 · Pediatric Health and Physical Assessment. -Hydronephrosis. The nurse’s next action in the scenario where a 2-year-old client presents to the provider's office for their well-child visit and the nurse notes several bruises on the child's back and bilateral arms at different stages of The nurse assessing a child with juvenile rheumatoid arthritis notes the child's right knee and ankle are swollen, warm, and tender and with a temperature of 38. This type of assessment may be performed by registered nurses for patients admitted to the hospital or Apr 30, 2024 · Updated on April 30, 2024. The child reports severe pain and fever. Which laboratory values would be concerning to the nurse?, The nurse receives a report from the day shift on the assigned children with hemophilia. Document that the bruises appear to be caused by spanking C. Assess the child's physical status. Which condition would the nurse most likely include in the discussion as a leading cause of maternal During a home visit, the nurse notices that an older adult woman is caring for her bedridden husband. After an initial assessment during which vital signs are noted to be within the normal range, the nurse notes bruising over the lower abdomen, abdominal distention, and hematuria. foods the child likes to eat. Which of the following is an appropriate action for the nurse to take? a. Which of the following actions should the nurse take?, A nurse is collecting data from a newborn at birth to assign Apgar scores. 6 of 20. systemic d. In this scenario, the nurse must be alarmed by the presence of multiple bruises on the child's back A 2-year-old client presents to the provider's office for their well child visit. The mother becomes upset and demands to know the reason for the nurse's action. the degree and extent of skin redness is important in burn care. The nurse asks the client how the bruises were sustained. During a routine visit, the nurse notes that a child has several bruises at various stages of healing. Report the suspected abuse to authorities b. 1°C (102. ” There are four main types of abuse: neglect, physical abuse, psychological abuse and sexual abuse. What is the nurse's initial intervention? 1. Which nursing assessment data cue supports a diagnosis of depression? (Select all that Step 1. - Ask the child if he/she would prefer to sit on the parent's lap for the exam. Which of the following actions should the nurse take first? Administer an antipyretic to the child. Study with Quizlet and memorize flashcards containing terms like 1. Bruises go through color changes, which can be hard to detect through skin pigmentation or with small bruises. After the nurse's initial assessment, the client is at the highest risk of --- as evidenced by the client's ----. Study with Quizlet and memorize flashcards containing terms like A toddler is brought to the pediatric clinic by the caregiver because the child "doesn't feel well. What clinical findings does the nurse anticipate when assessing the child? SATA A: PALLOR B: FATIGUE C: JAUNDICE D: MULTIPLE BRUISES E: GENERALIZED EDEMA, 2. And while there are times when it is easy to distinguish between normal bruising, physical abuse, and a bleeding disorder, there are situations where The nurse has reviewed the child's nurses notes, assessment, vital signs, providers prescriptions and laboratory results for the 0800 one month ago visit Nurses' Notes 2 months ago: The toddler is here for their well-child visit and is accompanied by a parent. As a nurse, it is essential to understand the nursing care plans and nursing diagnosis Jul 22, 2023 · Study with Quizlet and memorize flashcards containing terms like The nurse is providing care for a 9-year-old girl who is medically fragile. Toddler is active, alert, and walking without assistance. The best way to document the history and physical findings is to: A) write what the child's caregiver tells the nurse. Among 366 children younger than 6 months, only 2 (0. -Urinary tract infection. A nurse is planning care for 4-year-old child who requires airborne precautions. What is the nurse's most appropriate response? a. The management of a rape victim should be directed primarily toward:, Place the three phases of intimate partner violence in the order in which they occur. The nurse puts the infant in a semi-upright position and Study with Quizlet and memorize flashcards containing terms like the nurse is assessing a 3-year-old at a routine well-child visit. However, it is the most common abusive injury, and may indicate severe internal injury, or precede catastrophic injury. After assessing a child's airway, breathing, and circulation (ABCs), what would the nurse do next? Obtain blood glucose. Her husband is unable to care for himself, and she appears thin, weak, and exhausted. Select the 4 findings that require immediate attention. A nurse is assessing a 10-month-old infant. -Assess the rest of the child's body for a rash. and more. The assessment does not indicate any bruises or marks on the body. . The older client has several bruises in various stages of healing. The client and family member explain that the bruises are a result of clumsiness. The nurse is caring for a 13-year-old girl. Which of the following actions should the nurse take? Jun 29, 2024 · A nurse is assessing a child and notes several bruises. The caregiver's statement. What should the nurse's next action be? We have an Answer from Expert. Report your concerns to the social worker and authorities, and maintain a safe environment for the child. Examine the skin, hair, and nails for: Age-related changes. Although bruising is the most common manifestation of child physical maltreatment, knowing when to be concerned about maltreatment and how to assess bruises in this context can be challenging for A toddler who is beginning to walk has fallen and hit his head on the corner of a low table. The child reports abdominal pain and complains of leg pain. Which of the following actions should the nurse take? = Obtain a detailed history 71. Whether the setting is a hospital or other healthcare facility, it is important to gather information regarding the child’s history and current status. A. 8° C (102° F) and abdominal pain. Ask the parents who hit the child on the back. The important clue is bruises in different stages in healing. The woman states that this is her duty, she does the best she can, and her children come to help when they are in town. ask the parents what caused the bruises. A careful history, including developmental stage, past medical and social history followed The nurse is caring for a 4-year-old child admitted to the pediatric unit. which of the following actions should the nurse take first?, A nurse reports and incident of suspected child abuse. Notify the child's primary healthcare provider. The nurse notices that several of his Aug 1, 2020 · Although physical child abuse is a “cannot miss” diagnosis for a bruised child at school, there are many red herrings for child abuse in the setting of a bruise, delineated in Table 2. A nurse is assessing a client with multiple traumas who is at risk for developing acute respiratory distress syndrome. Deliver compressions at a depth of 1 1/2 to 2 inches. But there are 2 times when bruises really do matter and should be addressed – in the instances of bleeding disorders and child abuse. Separate the child from the parents The nurse is caring for a child with hemophilia after the child fell from a bike. Which of the following findings should the nurse expect? Child abuse is a major epidemic within the United States, affecting over 3 million children in 2011. Science; Nursing; Nursing questions and answers; a 2 year old client presents to the providers office for their well child visdit the nurse notes several bruises on the childs back and bilateral arms at different stages of healing One of the parents of the child becomes upset and demands to know the reason for the nurse’s actions. A nurse is making a home visit to a client who has Alzheimer's disease and the client's partner. b. A nurse is reviewing the physical exam of a child. acute febrile When noticing many bruises on a child, a nurse should document the findings and inform the child's parents or caregivers, rather than making immediate assumptions about abuse. The child reports falling out of a tree 2 days ago. Which of the following is appropriate? A. Solutions for Chapter 9 Problem 8RQ: While assessing a special needs patient, you note several bruises in various stages of healing and some small burns on the body. The child is very insecure and has poor self-esteem. Abuse is defined as an act of commission and Mar 15, 2024 · D. Complete Health Assessment A complete health assessment is a detailed examination that typically includes a thorough health history and a comprehensive head-to-toe physical exam. rationale: look for inconsistencies between the hx and the injury are the most important. , The nurse is Sep 19, 2022 · Any parent of a toddler will let you know that bruises can be a common occurrence for many children. Separate the child from the parents Correct answer: B. " c. Explore quizzes and practice tests created by teachers and students or create one from your course material. The child is often absent from school and seems apathetic and tired. Ask a psychiatrist to talk to the parents D. 0mg/dL. Which of the following interventions should the nurse include in the plan? Initiate seizure precautions for the child. ca Nov 13, 2007 · The discoloration is the result of ruptured blood vessels that have spilled blood out into the surrounding tissues (hematoma). The nurse is gathering data during the admission process & notes several bruises and swollen joints. Scene safety assessment Ensure that it is safe to approach the injured student. The child's lips are edematous and inflamed, and he is drooling. The nurse notes several bruises on the child's back and bilateral arms at different stages of healing. Which assessment should the nurse PRIORITIZE in the vision check?, the pediatric nurse is discussing the daily activities of a year with the caregiver to assess growth and development status. Ingestion of unknown cleaning chemical . As the days go by it lightens up as the blood in the tissues is absorbed, carried away and the discoloration turned brownish to yellow. developmental milestones. The child has a temperature of 38. “I am unable to discuss this, but I can contact my supervisor to speak with you. The nurse is gathering data during the admission process and notes several bruises and swollen joints. d. This can lead to excessive bleeding even from minor injuries, and can be life-threatening in some cases. The nurse is gathering data during the admission process and notes several bruises and 5 days ago · B. The Jan 11, 2011 · The skin is the body’s largest organ. During the assessment of an 86-year-old client, the nurse notes multiple bruises on the torso, arms, and back. Which of the following responses by the nurse is appropriate?, A nurse is assessing an older adult client who lives with her daughter. reasonable prudence. Obtain a detailed history. The client, although reluctant, tells the nurse in confidence that her daughter frequently hits her if she gets Suspected child abuse: A nurse is assessing a child and noted many bruises. A diagnosis of hemophilia is confirmed. Chapter 46: Nursing Care of the Child With an Alteration in Cellular Regulation/Hematologic or Neoplastic Disorder - Page 1709 Add a Note Question 6 See full question 1m 20s Report this Question The nurse is caring for a child with sickle-cell anemia admitted to the pediatric unit. The child has multiple bruises on various body parts. What do these finding indicate?, A pediatric nurse is assisting with the care of a child diagnosed with a fractured femur. Which of the following actions should the nurse take? a. Jun 29, 2024 · A public health nurse is assessing an older adult client who lives with a family member. What action should the nurse take next? A. Terms in this set (41) A toddler who is beginning to walk has fallen and hit his head on the corner of a low table. The nurse notes s A 2-year-old client presents to the provider's office for their well child visit. Which of the following is the priority action by the nurse? Check the child's respiratory status. Immediately activate EMS if the situation is obviously emergent. the nurse would document that the child has reached the initiative stage Study with Quizlet and memorize flashcards containing terms like A school nurse is caring for a child who fell on the playground. 1. " As the nurse interviews the caregiver about why the client is there, which goal is the nurse prioritizing at this point?, The nurse is examining an infant who is 4 days old. The nurse notes that Dana’s address given is in a different community about 50 miles away from the hospital. Ask a psychiatrist to talk with the parents. Bruising in children poses a diagnostic challenge to health care providers. “As a nurse, I am required by law to report suspected child abuse. Study with Quizlet and memorize flashcards containing terms like A child is sent to the school nurse for assessment because she comes to school every day disheveled, unbathed, and hungry. A nurse is assessing a child and notes several bruises. Select all that apply. What should the nurse's next action be? Jun 29, 2024 · Temperature of 101° F (38. report the suspected abuse to authorities B. The child is quiet and avoids eye contact with the nurse. A diagnosis of hemophilia is confirmed Oct 3, 2013 · Bruises commonly occur in children and are most often the result of a minor accidental injury. By Paul Martin, BSN, R. The incidence of bruising increased as the children became Bruising is a commonly sustained injury in childhood, and thus is often overlooked during examination. Earache, stiff neck, or sore throat. Science; Nursing; Nursing questions and answers; a 2 year old client presents to the providers office for their well child visdit the nurse notes several bruises on the childs back and bilateral arms at different stages of healing A public health nurse is assessing an older adult client who lives with a family member. What action should the nurse take?, The nurse is conducting a health history with an older adult who recently lost a spouse. age, name, and date of birth. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain? The partner has lost 20 lb in the past 2 mos. negligence. Bruises to the face, torso, and extremities. Diagnosis: Upper respiratory infection, including rhinitis and pharyngitis. A nurse is assessing the fine motor skills of a 3-year-old preschooler. Deliver compressions just above the nipple line. It is estimated that over 50% of children older than 1 year will have bruising from minor accidental injury. Upon examination of the child, the nurse notes multiple bruises in various stages of healing. gi yn ej hc lh gg ux xd sy in