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?
Abrasions on the knees
Front deciduous teeth missing
Weight in 45th percentile
Bruising around the wrists
The Correct Answer is D
A. Abrasions on the knees may be common in active children and may not necessarily indicate physical abuse.
B. Front deciduous teeth missing is a normal occurrence as children lose their baby teeth and grow permanent teeth. It is not indicative of physical abuse.
C. Weight in the 45th percentile indicates that the child's weight falls within the average range for their age. This finding is not indicative of physical abuse.
D. Bruising around the wrists can be a concerning sign, especially if it suggests that the child has been restrained or grabbed forcefully. This finding raises suspicion of physical abuse and should be further assessed and reported if necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hyperpyrexia, or extremely high fever, is a potential complication of acute
acetylsalicylic acid (aspirin) poisoning. It can occur due to the toxic effects of salicylates on the hypothalamus, which regulates body temperature.
B. Polyuria (excessive urination) is not a typical finding associated with acute acetylsalicylic acid poisoning.
C. Jaundice (yellowing of the skin and eyes) is not a typical finding associated with acute acetylsalicylic acid poisoning.
D. Neck vein distention is not a typical finding associated with acute acetylsalicylic acid poisoning. It may be a sign of increased central venous pressure, which is not directly related to salicylate toxicity.
Correct Answer is C
Explanation
A. Blood urea nitrogen (BUN) of 12 mg/dL is within the normal range for a child.
B. Blood urea nitrogen (BUN) of 6 mg/dL is within the normal range for a child.
C. A creatinine level of 1.4 mg/dL is elevated and may indicate impaired kidney function.
This value should be reported to the provider, especially in the context of gentamicin administration, as gentamicin can be nephrotoxic.
D. Creatinine level of 0.3 mg/dL is within the normal range for a child.
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