A nurse in an urgent care clinic is collecting data from a group of clients. Which of the following findings should alert the nurse to the possibility of child maltreatment?
A 6-year-old child who is toilet trained and bedwetting
An 8-month-old infant who has stranger anxiety
An 18-month-old child who has several bruises on their shins
A 2-year-old child who kicks and screams when their parent leaves
The Correct Answer is A
A. Bedwetting in a toilet-trained child can be a sign of emotional distress or trauma, which may indicate maltreatment and should be further investigated.
B. Stranger anxiety is a normal developmental stage for an 8-month-old infant and does not suggest maltreatment.
C. Bruises on the shins of an 18-month-old child are common due to normal toddler activity and do not necessarily indicate maltreatment.
D. Separation anxiety, including kicking and screaming when a parent leaves, is typical behavior for a 2-year-old child and does not suggest maltreatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A slight fever is not typically expected after a lumbar puncture and could indicate an infection or other complication that needs to be addressed.
B. It is important to keep the child's head flat for several hours after the procedure to prevent post-lumbar puncture headaches and other complications.
C. Increasing fluid intake is encouraged after a lumbar puncture to help prevent headaches and promote recovery. Fluid restriction is not indicated.
D. Numbness in the legs is not a common side effect of a lumbar puncture. Any numbness or neurological changes should be reported immediately as they could indicate a complication.
Correct Answer is C
Explanation
A. Peanut butter is a good source of protein but is not a complete protein as it lacks some essential amino acids.
B. Pinto beans are also a good source of protein but not a complete protein on their own.
C. Eggs provide all the essential amino acids in adequate amounts, making them a complete protein.
D. Broccoli is nutritious but not a significant source of protein and does not contain all essential amino acids.
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