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. Offering sips of water 4 hours following surgery may be too early and could increase the risk of postoperative complications such as nausea and vomiting.
B. Assisting the adolescent to ambulate 12 hours following surgery may be too early depending on the surgical procedure and the adolescent's condition.
C. Maintaining the head of the bed at a 30° angle is incorrect because this position increases pressure on the spinal cord and can cause complications.
D. Logrolling the adolescent every 2 hours prevents spinal injury and promotes healing by keeping the spine in alignment

A. "If you don't cry, you can pick out a prize." B. "This medicine will fix you to make you feel better." C. "You will only feel a little stick." D. "You can choose which leg you get your medicine in."

Correct Answer is D

Explanation

A. Offering a prize for not crying may inadvertently reinforce crying as an expectation.
B. This statement is not accurate because the medicine might not fix the problem or make the child feel better immediately.
C. Assuring the child that they will only feel a little stick is not honest because the injection might hurt more than a little stick, and lying to the child can damage the trust between the nurse and the child.
D. Allowing the child to choose the injection site allows the child to have some control and autonomy over the situation, which can reduce anxiety and fear.

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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

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