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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. BUN level of 12 mg/dL is within normal range and does not indicate infection.
B. Urine specific gravity of 1.014 is within normal range and does not indicate infection.
C. A WBC count of 17,500/µL is elevated and indicates a possible infection, which should be reported immediately.
D. Urine osmolality of 500 mOsm/kg is within normal range and does not indicate infection.

A. Use a corticosteroid ointment until the infection subsides. B. Cleanse the eye by wiping downward and outward from the inner canthus. C. Apply the antibiotic eye ointment in the morning. D. Maintain continuous cool eye compresses.

Correct Answer is B

Explanation

A. Corticosteroid ointment is not recommended for viral conjunctivitis as it can exacerbate the infection or prolong the healing process. Viral conjunctivitis typically resolves on its own without the need for corticosteroids.
B. Cleaning the eye by wiping downward and outward from the inner canthus helps to remove discharge and prevent the spread of infection. This technique ensures that contaminants are removed efficiently and reduces the risk of re-infection.
C. Antibiotic eye ointment is not indicated for viral conjunctivitis, as antibiotics are ineffective against viruses. Treatment typically focuses on symptom relief rather than antibacterial therapy.
D. While cool compresses can provide symptom relief, continuous application is not necessary. Intermittent cool compresses may help to soothe irritation and reduce swelling, but continuous use is not required.

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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?

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Naxlex Comprehensive Predictor Exams

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