Question

a nurse in the emergency department is caring for a client who states they fell down the stairs this morning. which of the following assessment findings indicates the client might be experiencing physical abuse? (select all that apply.) the client has bruises in various stages of healing on their back. the clients eyeglasses are cracked. the client is visibly uneasy when their partner enters the area. the client has a scar on their upper arm. the client has ligature marks around both wrists. the client has an open, discolored wound on their shoulder.

Explanation:

• For "The client has bruises in various stages of healing on their back": Bruises in different healing stages suggest repeated injuries, which is common in physical abuse.
• For "The client is visibly uneasy when their partner enters the area": Fear or unease around the partner can indicate a history of abuse.
• For "The client has ligature marks around both wrists": Ligature marks (from binding) are a sign of physical abuse.
• For "The client has an open, discolored wound on their shoulder": A fresh, discolored wound (possibly from abuse) along with other signs supports abuse.
• "The client’s eyeglasses are cracked": Could be accidental, not specific to abuse.
• "The client has a scar on their upper arm": A single scar doesn't indicate ongoing or repeated abuse.

Answer:

• The client has bruises in various stages of healing on their back.
• The client is visibly uneasy when their partner enters the area.
• The client has ligature marks around both wrists.
• The client has an open, discolored wound on their shoulder.