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 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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Discarding the first voided specimen is necessary for a 24-hour urine collection.
B. Voiding every hour is not a specific instruction for a 24-hour urine collection and may not be practical or feasible.
C. Cleansing the perineum with a povidone-iodine solution is not necessary for a 24hour urine collection unless specifically instructed by the healthcare provider.
D. Saving the final specimen in a separate container is not necessary for a 24-hour urine collection.
Correct Answer is A
Explanation
A) Oral electrolyte solution helps prevent dehydration and replaces lost electrolytes in infants with acute diarrhea, making it the most appropriate choice.
B) Applesauce may worsen diarrhea due to its high sugar content.
C) White grape juice is also high in sugar and may worsen diarrhea.
D) Chicken soup is not recommended as it may be too heavy and rich for an infant with acute diarrhea.
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