A nurse is caring for a group of clients in a pediatric clinic. Which of the following clients is at highest risk for physical abuse?

An adolescent who is preparing to leave home for college

A school-age child who wants to go away to summer camp

A preschooler who is reluctant to share

A toddler who has cystic fibrosis

Answer and Explanation

The Correct Answer is D

A.   Adolescents who are preparing to leave home for college are generally more independent and have a higher level of verbal communication compared to younger children. They are less likely to be at high risk for physical abuse because they can potentially seek help or report abuse more readily.

B.   School-age children typically have better verbal communication skills and may express their desires and feelings more clearly compared to younger children. They are generally less vulnerable to physical abuse compared to younger children who may not be able to communicate their experiences as effectively.
C.   Preschoolers are at a higher risk for physical abuse compared to older children and adolescents. They are still developing verbal communication skills and may not be able to express their feelings or report abuse clearly. Their dependence on caregivers for basic needs and care also increases their vulnerability.
D.   Toddlers, especially those with chronic health conditions like cystic fibrosis, are particularly vulnerable to physical abuse. Their young age, dependency on caregivers for basic needs, limited verbal communication skills, and potential health challenges increase their risk. Caregivers may feel overwhelmed or stressed by the child's condition, which could potentially contribute to abusive behaviors.

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Correct Answer is A

Explanation

A. Cardiac arrhythmias can be a concern during ECT due to the potential cardiovascular effects of the electrical stimulation. It's crucial to ensure that the client's cardiac status is stable before proceeding with ECT. Certain arrhythmias may require management or stabilization before the procedure can be safely performed.

B. Crohn's disease, an inflammatory bowel disease, may not directly impact the safety of ECT. However, it's important to review if the client is currently experiencing an active flare-up or complications such as dehydration or electrolyte imbalances, which could affect their overall health and readiness for the procedure.
C. Asthma itself is typically not a contraindication for ECT. However, if the client has poorly controlled asthma or is experiencing an exacerbation, it could pose a risk during the procedure, especially if sedation or anesthesia is used. The nurse should ensure asthma is well-managed before proceeding with ECT.
D. Renal colic refers to pain caused by kidney stones. This condition is not typically a direct contraindication for ECT. However, pain and discomfort from renal colic could affect the client's tolerance of the procedure, especially if sedation or anesthesia is required.

A. Administering a medication without the client's consent B. Leaving a client in a wheelchair with the wheels unlocked C. Threatening to apply restraints on a client who is refusing medication D. Documenting false information about a client's substance use history

Correct Answer is D

Explanation

A. This scenario involves the issue of informed consent and medical ethics rather than libel. It pertains to the client's right to make decisions about their treatment. While administering medication without consent could have legal and ethical implications, it does not relate to libel.
B. This is an example of negligence or breach of duty, which could result in harm to the client. It pertains to safety protocols and standards of care rather than libel. Properly securing a client in a wheelchair is crucial for their safety and is not related to libel.
C. This example involves ethical considerations around coercion and restraint use. Threatening to apply restraints without a legitimate reason or following proper protocols could be considered a violation of

the client's rights. However, it does not constitute libel, as it does not involve false statements that harm someone's reputation through written or broadcasted communication.
D. This is an example of libel. Documenting false information about a client's substance use history can damage their reputation and potentially lead to negative consequences for the client, such as improper treatment or legal ramifications. Accurate and truthful documentation is essential in healthcare to ensure proper care and respect for the client's rights.

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A nurse is caring for a group of clients in a pediatric clinic. Which of the following clients is at highest risk for physical abuse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy. The nurse should notify the provider for which of the following findings?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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