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

Answer and Explanation

The Correct Answer is D

A)   Abrasions on the knees could result from normal childhood activities and may not indicate physical abuse.
B)   Front deciduous teeth missing could be due to normal tooth loss.
C)   Weight in the 45th percentile is within a normal range and does not necessarily indicate physical abuse.
D)   Bruising around the wrists is concerning for physical abuse, especially in a pattern consistent with restraining or gripping.

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Correct Answer is D

Explanation

A) Kyphosis, or curvature of the spine, is not typically an urgent concern in sickle cell anemia.
B) Constipation can occur but is not typically an urgent complication.
C) Enuresis, or bedwetting, may be a concern but is not typically an urgent complication.
D) Facial twitching could indicate neurological involvement or a stroke, which is a serious complication of sickle cell anemia and requires immediate attention.

A. Dietitian B. Occupatonal therapist C. Speech-language pathologist D. Physical therapist

Correct Answer is A

Explanation

A. A dietitian can provide essential guidance on appropriate nutrition and caloric intake, which is crucial for managing cystic fibrosis.
B. Occupational therapists focus on improving fine motor skills and daily living activities, which may not be the primary concern for a child with cystic fibrosis.
C. Speech-language pathologists primarily address speech and language disorders, which may not be directly related to cystic fibrosis.
D. Physical therapists focus on improving mobility and strength, which may be important but may not be the priority in the early management of cystic fibrosis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?

Correct Answer is D

Explanation

A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?

Correct Answer is A

Explanation

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