A nurse is caring for multiple clients at a pediatric clinic. Which of the following clients should the nurse identify as being at the highest risk of child maltreatment?

A 3-year-old child who has cystic fibrosis

A 12-year-old child who has diabetes mellitus

A 6-year-old child who is recovering from mononucleosis

An 8-year-old child who has a fractured tibia following a soccer game

Answer and Explanation

The Correct Answer is A

A. A 3-year-old child who has cystic fibrosis: Young children with chronic illnesses are at higher risk for maltreatment due to their dependency on caregivers for complex medical care, frequent hospitalizations, and ongoing supervision. The combination of young age and chronic medical needs increases vulnerability.

B. A 12-year-old child who has diabetes mellitus: While chronic illness can be a risk factor, older children are generally less vulnerable to maltreatment because they have greater independence and ability to communicate needs. Diabetes management in a 12-year-old may be shared with the child, reducing dependence on caregivers.

C. A 6-year-old child who is recovering from mononucleosis: Mononucleosis is typically a self-limiting illness, and recovery usually occurs at home without complex care. This child’s risk for maltreatment is lower compared to a younger child with a chronic condition requiring intensive management.

D. An 8-year-old child who has a fractured tibia following a soccer game: An accidental injury in a school-age child is not inherently associated with maltreatment. This child’s age and the nature of the injury (traumatic but accidental) place them at lower risk for abuse compared with a younger child with chronic health needs.

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Correct Answer is C

Explanation

A. Rupture the amniotic sac: Artificial rupture of membranes is contraindicated in complete placenta previa because it can trigger severe maternal hemorrhage due to placental location over the cervical os.

B. Medicate the client for pain: While pain management may be necessary, the immediate priority is maternal and fetal safety. Pain control does not address the life-threatening risk of bleeding with placenta previa.

C. Prepare the client for a cesarean section: Complete placenta previa requires delivery by cesarean section to prevent catastrophic hemorrhage. Preparing for surgery is the priority intervention for both maternal and fetal safety.

D. Perform a vaginal exam: Vaginal examination is contraindicated in complete placenta previa because it can disrupt the placenta and cause severe bleeding. It should not be performed.

A. A client who has a history of MRSA will need antibiotics B. A client who has a history of MRSA can develop immunity to the infection. C. A client who has a history of MRSA requires a protective environment D. A client who has a history of MRSA can still transmit the infection

Correct Answer is D

Explanation

A. A client who has a history of MRSA will need antibiotics: Not all clients with a history of MRSA require antibiotics; treatment is only necessary if there is an active infection. Prophylactic antibiotics are not indicated solely based on past MRSA colonization or infection.

B. A client who has a history of MRSA can develop immunity to the infection: There is no immunity conferred by a past MRSA infection. Clients can be colonized or reinfected, and immunity does not prevent future transmission or infection.

C. A client who has a history of MRSA requires a protective environment: Protective environment precautions are used for immunocompromised clients to prevent them from acquiring infections, not for clients with MRSA history. MRSA requires standard and contact precautions, not protective isolation.

D. A client who has a history of MRSA can still transmit the infection: Clients with a history of MRSA may remain colonized and can transmit the bacteria to others, even if asymptomatic. Adhering to contact precautions and proper hand hygiene is essential to prevent spread within healthcare settings.

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A nurse is caring for multiple clients at a pediatric clinic. Which of the following clients should the nurse identify as being at the highest risk of child maltreatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has a diagnosis of complete placenta previa is admitted to the labor and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in duration. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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