A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?
Weight in 45th percentile
Bruising around the wrists
Abrasions on the knees
Front deciduous teeth missing
The Correct Answer is B
A. Weight in 45th percentile: A weight in the 45th percentile falls within the normal range for a 7-year-old child and does not, by itself, suggest maltreatment. Physical abuse is more closely associated with injury patterns rather than isolated growth measurements within expected limits.
B. Bruising around the wrists: Bruising around the wrists can indicate the child may have been restrained or forcibly grabbed. Injuries in areas not typically injured during play raise concern for inflicted trauma and are considered potential indicators of physical abuse.
C. Abrasions on the knees: Abrasions on the knees are common in school-aged children due to normal play and falls. These injuries usually occur on bony prominences and are generally considered consistent with accidental trauma.
D. Front deciduous teeth missing: Loss of front primary teeth is developmentally expected in children around this age. This finding alone is not suggestive of abuse and is usually part of normal dental development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Jaundice: Jaundice is a sign of liver dysfunction or hemolysis and is not an expected manifestation of acute acetylsalicylic acid (aspirin) poisoning. While severe toxicity can affect multiple organs, jaundice is not a typical early or common symptom in children with aspirin overdose.
B. Hyperpyrexia: Acute aspirin poisoning can disrupt the body’s thermoregulatory center, leading to elevated body temperature (hyperpyrexia). Other common manifestations include tachypnea, nausea, vomiting, and altered mental status. Hyperpyrexia is particularly concerning in severe toxicity and requires prompt intervention.
C. Neck vein distention: Neck vein distention is usually associated with cardiac or fluid overload conditions, such as heart failure or pericardial tamponade. It is not a clinical feature of aspirin poisoning and would not be expected in this scenario.
D. Polyuria: While aspirin toxicity can lead to dehydration from vomiting or sweating, polyuria is not a characteristic sign of acute aspirin poisoning. Any changes in urine output would more likely result from secondary dehydration rather than a direct effect of the drug.
Correct Answer is A
Explanation
A. Bowling: Bowling is a low-impact activity with minimal risk of physical contact or injury, making it an appropriate sport for a child with hemophilia. It allows participation in physical activity while reducing the likelihood of trauma and bleeding episodes.
B. Gymnastics: Gymnastics involves frequent jumping, tumbling, and risk of falls, which increase the likelihood of joint and soft tissue bleeding. These movements pose a higher injury risk for a child with hemophilia.
C. Soccer: Soccer is a contact sport with a high risk of collisions, falls, and injuries to the lower extremities. These factors significantly increase the risk of bleeding and are not recommended for children with hemophilia.
D. Basketball: Basketball involves running, jumping, and frequent physical contact with other players. The risk of falls and joint injury makes it an unsafe choice for a child with hemophilia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.