A nurse is conducting a health screening of a school-age child. The nurse should recognize which of the following as a risk factor for child maltreatment?

A. Abdomen: The abdomen is typically used for subcutaneous injections, such as insulin or heparin, due to its fatty tissue. It is not ideal for intradermal injections, which require a thin layer of skin to allow for proper absorption and observation of a wheal.

B. Deltoid: The deltoid muscle is commonly used for intramuscular injections, not intradermal ones. Using this site for intradermal injections could result in the medication being deposited too deeply, affecting absorption and test accuracy.

C. Back of the upper arm: The inner surface of the forearm or the back of the upper arm is the preferred site for intradermal injections, such as tuberculosis or allergy testing. This area has thin skin, minimal subcutaneous fat, and allows for easy visualization of the wheal and monitoring for reactions.

D. Upper back: While the upper back has subcutaneous tissue, it is not commonly used for intradermal injections because it is less accessible for observation and assessment of local reactions. Proper site selection is important for safety and effectiveness.

A. Change the client's position every 2 hr: Repositioning helps prevent skin breakdown and promotes circulation, which is important for stroke clients. However, it does not address the most immediate risk associated with right-sided weakness and facial drooping.

B. Place the client's right hand in a supination position: Proper positioning of the affected extremities prevents contractures and maintains joint alignment. While necessary for long-term care, it is not the highest priority in the immediate post-stroke period.

C. Maintain NPO status for the client: Right-sided weakness and facial drooping indicate potential dysphagia, placing the client at high risk for aspiration. Maintaining NPO status until a swallowing assessment is completed is the priority to prevent aspiration pneumonia, which is a life-threatening complication.

D. Perform range-of-motion exercises to the client's extremities: Range-of-motion exercises prevent contractures and maintain mobility. While important, this intervention is secondary to ensuring the client’s airway safety and preventing aspiration.